Organization
MARTINSBURG EYE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN HOUSEHOLDER (OFFICE MANAGER)
(304) 267-4273
Entity
Organization
Contact information
Practice address
2002 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 267-4273
Mailing address
2002 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 267-4273
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19369
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202125000
—
WV
Enumeration date
10/27/2006
Last updated
11/17/2014
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