Organization
WEIRTON EYE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK S DECARIA OD (OPTOMETRIST)
(304) 748-5230
Entity
Organization
Contact information
Practice address
3065 MAIN ST, WEIRTON, WV 26062-4709
(304) 748-5230
(304) 748-2123
Mailing address
3065 MAIN ST, WEIRTON, WV 26062-4709
(304) 748-5230
(304) 748-2123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
D-611
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-50654000
—
WV
Enumeration date
10/10/2008
Last updated
10/10/2008
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