Organization
MOUNTAINEER OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY J DOYLE (VICE PRESIDENT)
(304) 636-7046
Entity
Organization
Contact information
Practice address
116 3RD ST, ELKINS, WV 26241
(304) 636-7046
(304) 636-7046
Mailing address
116 3RD ST, ELKINS, WV 26241
(304) 636-7046
(304) 636-7046
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151814000
—
WV
Enumeration date
12/13/2006
Last updated
10/05/2010
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