Individual
JOSIAH BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
324 OAKVALE RD STE 100, PRINCETON, WV 24740-3829
(304) 425-2444
(304) 425-2446
Mailing address
324 OAKVALE RD STE 100, PRINCETON, WV 24740-3829
(304) 425-2444
(304) 425-2446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3002-IOD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3002-IOD
STATE LICENSE
WV
Enumeration date
05/16/2022
Last updated
05/16/2022
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