Organization
REGIONAL EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R POWELL M.D. (PRESIDENT)
(304) 598-3301
Entity
Organization
Contact information
Practice address
226 ELM DR, SUITE 101, WAYNESBURG, PA 15370-8269
(724) 627-6100
(304) 599-7346
Mailing address
1255 PINEVIEW DRIVE, MORGANTOWN, WV 26505-2713
(304) 598-3301
(304) 599-7346
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007297520006
—
PA
Enumeration date
03/11/2008
Last updated
11/16/2009
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