Organization
UNITED EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BERARDI O.D. (OWNER)
(304) 825-6364
Entity
Organization
Contact information
Practice address
120 MEDICAL PARK DRIVE, SUITE 103, BRIDGEPORT, WV 26330
(304) 825-6364
Mailing address
3208 HUSKY HWY., FARMINGTON, WV 26571-9721
(304) 825-6364
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
830-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007303
—
WV
Enumeration date
10/19/2011
Last updated
05/23/2017
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