Individual
DR. EDWARD CLIFTON HYRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1500 HARRISON AVE, SUITE 2, ELKINS, WV 26241-3327
(304) 636-9111
(614) 923-9575
Mailing address
115 WILTON AVE, ELKINS, WV 26241-3260
(304) 636-5175
(304) 636-5175
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
565OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150280000
—
WV
Enumeration date
10/24/2005
Last updated
07/09/2007
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