Organization
DAVID R HOLLIDAY OD
Active
Other names
Waitkus Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R HOLLIDAY O.D. (OWNER)
(304) 253-8822
Entity
Organization
Contact information
Practice address
624 NEVILLE ST, BECKLEY, WV 25801-5344
(304) 253-8822
(304) 253-3012
Mailing address
624 NEVILLE ST, BECKLEY, WV 25801-5344
(304) 253-8822
(304) 253-3012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150018000
—
WV
Enumeration date
03/27/2008
Last updated
03/27/2008
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