Individual
NANCY A COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 E FOSTER ST, LEWISBURG, WV 24901-1409
(304) 645-7000
Mailing address
107 E FOSTER ST, LEWISBURG, WV 24901-1409
(304) 645-7000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
615-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150163000
—
WV
Enumeration date
03/17/2006
Last updated
03/06/2011
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