Organization
LAUGHLIN AND WADE, OPTOMETRISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J KEITH WADE OD (PARTNER)
(304) 366-2020
Entity
Organization
Contact information
Practice address
405 LOCUST AVE, FAIRMONT, WV 26554-4717
(304) 366-2020
Mailing address
405 LOCUST AVE, FAIRMONT, WV 26554-4717
(304) 366-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
646OD
WV
152W00000X
Optometrist
729OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012623000
—
WV
Enumeration date
07/23/2007
Last updated
04/22/2008
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