Organization
GREENBRIER VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN E. ENGLE-LANEVE O.D. (OWNER/PRESIDENT)
(304) 342-5900
Entity
Organization
Contact information
Practice address
806 GREENBRIER ST, CHARLESTON, WV 25311-1527
(304) 342-5900
(304) 342-6257
Mailing address
300 ASSOCIATION DR, CHARLESTON, WV 25311-1269
(304) 342-5900
(304) 342-6257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005658
—
WV
01
—
9312131
MEDICARE PTAN
WV
01
—
CH4039
RAILROAD MEDICARE PTAN
WV
Enumeration date
10/24/2006
Last updated
07/03/2024
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