Organization
PRO EYES OPTOMETRY ASSOCIATES, LLC
Active
Parent organization
PRO EYES OPTOMETRY ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRO EYES OPTOMETRY ASSOCIATES, LLC
Authorized official
DR. MARK CHARLES BROWN O.D. (OWNER)
(304) 522-2551
Entity
Organization
Contact information
Practice address
3333 US ROUTE 60, HUNTINGTON, WV 25705
(304) 522-2551
(304) 522-2544
Mailing address
3333 US ROUTE 60, HUNTINGTON, WV 25705
(304) 522-2551
(304) 522-2544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WV 740 D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000101835
BLUE CROSS BLUE SHIELD
WV
05
—
0150722000
—
WV
Enumeration date
09/06/2007
Last updated
07/25/2008
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