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Organization

MAXWELL EYECARE CENTER, INC

Active
Other names
HILDA J. MAXWELL, OD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HILDA J MAXWELL OD (PRESIDENT, OWNER, OD)
(304) 776-5594
Entity
Organization

Contact information

Practice address
130 GOFF MOUNTAIN RD, SUITE 12, CROSS LANES, WV 25313-1419
(304) 776-5594
(304) 776-3521
Mailing address
130 GOFF MOUNTAIN RD, SUITE 12, CROSS LANES, WV 25313-1419
(304) 776-5594
(304) 776-3521

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
866D
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001710665
BCBS GROUP #
WV
01
001722058
BCBS PIN #
WV
Enumeration date
05/19/2007
Last updated
08/22/2020
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