Organization
ANTONINI OCULAR PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER M. ANTONINI B.C.O. (OWNER/OCULARST)
(304) 685-4595
Entity
Organization
Contact information
Practice address
ANTONINI OCULAR PROSTHETICS, LLC, 1 MEDICAL CENTER DRIVE WVU EYE INSTITUTE, MORGANTOWN, WV 26506
(877) 594-0719
(304) 241-1858
Mailing address
1408 FAR MEADOWS, MORGANTOWN, WV 26508
(304) 343-9277
(304) 241-1858
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381002299
—
WV
Enumeration date
02/03/2012
Last updated
10/20/2022
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