Individual
ROBERT BRIAN PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2700 MOUNTAINEER BLVD, SOUTH CHARLESTON, WV 25309-9442
(304) 744-2713
(304) 744-0704
Mailing address
2700 MOUNTAINEER BLVD, SOUTH CHARLESTON, WV 25309-9442
(304) 744-2713
(304) 744-0704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
899-D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149617000
—
WV
Enumeration date
10/26/2006
Last updated
07/08/2007
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