Organization
LAWRENCE M MINARDI
Active
Other names
Eye Center Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE MATTHEW MINARDI MD (OWNER)
(304) 343-6219
Entity
Organization
Contact information
Practice address
500 DONNALLY ST, SUITE 101, CHARLESTON, WV 25301-1648
(304) 346-0292
(304) 343-1423
Mailing address
500 DONNALLY ST, SUITE 101, CHARLESTON, WV 25301-1648
(304) 346-0292
(304) 343-1423
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151307000
—
WV
Enumeration date
11/30/2006
Last updated
10/02/2008
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