Organization
TEAYS VALLEY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT J HENRY O.D. (OWNER)
(304) 760-8703
Entity
Organization
Contact information
Practice address
3859 TEAYS VALLEY RD, SUITE 2, HURRICANE, WV 25526-9622
(304) 760-8703
(304) 760-8704
Mailing address
3859 TEAYS VALLEY RD, SUITE 2, HURRICANE, WV 25526-9622
(304) 760-8703
(304) 760-8704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0936OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149908000
—
WV
Enumeration date
02/24/2011
Last updated
02/24/2011
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