Organization
TAYLOR EYE ASSOCIATES, PLLC
Active
Other names
South Charleston Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS L TAYLOR O.D. (MEMBER)
(304) 744-1303
Entity
Organization
Contact information
Practice address
415 D ST, SOUTH CHARLESTON, WV 25303-3107
(304) 744-1303
(304) 744-1316
Mailing address
PO BOX 8397, SOUTH CHARLESTON, WV 25303-0397
(304) 744-1303
(304) 744-1316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205140000
—
WV
Enumeration date
07/02/2006
Last updated
10/07/2009
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