Organization
MED SURG EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAOUFIK A SADAT M.D. (PRESIDENT)
(304) 252-4616
Entity
Organization
Contact information
Practice address
22 MALLARD CT, BECKLEY, WV 25801-3615
(304) 250-4216
(304) 253-6809
Mailing address
PO BOX 172, STANAFORD, WV 25927-0172
(304) 252-4216
(304) 253-6809
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20564
WV
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023639
—
WV
Enumeration date
02/07/2014
Last updated
02/07/2014
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