Organization
ELI DRAGISICH OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELI DRAGISICH O.D. (PRESIDENT)
(304) 723-1280
Entity
Organization
Contact information
Practice address
705 COLLIERS WAY, WEIRTON, WV 26062-5016
(304) 723-1280
Mailing address
705 COLLIERS WAY, WEIRTON, WV 26062-5016
(304) 723-1280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
599OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150189000
—
WV
Enumeration date
10/17/2006
Last updated
12/13/2007
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