Organization
PRO EYES OPTOMETRY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C BROWN OD (OWNER)
(304) 522-2551
Entity
Organization
Contact information
Practice address
3333 US ROUTE 60, HUNTINGTON, WV 25705-2838
(304) 522-2551
Mailing address
3333 US ROUTE 60, HUNTINGTON, WV 25705-2838
(304) 522-2551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WV740D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000101835
BCBS
WV
05
—
0150722000
—
WV
Enumeration date
09/28/2007
Last updated
02/28/2023
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