Organization
PATRICIA NEAL ROSS OD OC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA NEAL ROSS O.D. (PRESIDENT)
(304) 294-7465
Entity
Organization
Contact information
Practice address
HC 89 BOX 421, MC GRAWS, WV 25876-9705
(304) 294-7465
Mailing address
HC 89 BOX 421, MC GRAWS, WV 25876-9705
(304) 294-7465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
772OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150824000
—
WV
01
—
0222970001
ADMINISTAR
—
01
—
29701
SPECTERA
—
01
—
53311
DAVIS
—
01
—
555319
NVA
—
Enumeration date
04/26/2013
Last updated
04/26/2013
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