Organization
EYES ON GRAND CENTRAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROBERT WELSHANS II OD (PRESIDENT)
(304) 295-5921
Entity
Organization
Contact information
Practice address
2653 GRAND CENTRAL AVE, VIENNA, WV 26105-1334
(304) 295-5921
(304) 295-8941
Mailing address
2653 GRAND CENTRAL AVE, VIENNA, WV 26105-1334
(304) 295-5921
(304) 295-8941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
838OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149331000
—
WV
Enumeration date
03/08/2007
Last updated
02/15/2011
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