Individual
DAWN BERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICAIN
Contact information
Practice address
9601 MALL RD, MORGANTOWN, WV 26501
(304) 983-6680
(304) 983-6681
Mailing address
406 BUCKEYE RD, CORE, WV 26529
(304) 983-6680
(304) 983-6681
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
784567
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003788
—
WV
Enumeration date
09/22/2006
Last updated
07/08/2007
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