Organization
ANTHONY B. LOWE, O.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY B. LOWE O.D. (OWNER)
(304) 206-8354
Entity
Organization
Contact information
Practice address
4008 MACCORKLE AVE SW, CHARLESTON, WV 25309-1510
(304) 206-8354
Mailing address
200 QUARRIER ST, CHARLESTON, WV 25301-2006
(304) 206-8354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1019-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001023
—
WV
Enumeration date
09/03/2008
Last updated
10/27/2008
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