Organization
BLUE RIDGE EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA DAWN INMAN O.D. (PRESIDENT)
(304) 327-0207
Entity
Organization
Contact information
Practice address
US HWY 460 ST RT 25, MERCER MALL, BLUEFIELD, WV 24701
(304) 327-0207
(304) 324-0908
Mailing address
PO BOX 7202, BLUEFIELD, WV 24701-7202
(304) 327-0207
(304) 324-0908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
993-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH4381
UNITED HEALTHCARE GROUP
WV
Enumeration date
07/25/2006
Last updated
08/22/2020
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