Organization
STEPHEN P CASSIS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISA CASSIS (OFFICE MANAGER)
(304) 925-3937
Entity
Organization
Contact information
Practice address
301 49TH ST SE STE A, CHARLESTON, WV 25304-1909
(304) 925-3937
(304) 925-4336
Mailing address
301 49TH ST SE STE A, CHARLESTON, WV 25304-1909
(304) 925-3937
(304) 925-4336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2026-IOD1
WV
207W00000X
Ophthalmology Physician
Primary
12950
WV
Other
Enumeration date
10/16/2006
Last updated
10/11/2016
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