Organization
ASHMORE OPTICAL COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ASHLAND BURDETTE III (PRESIDENT)
(304) 344-2366
Entity
Organization
Contact information
Practice address
1021 QUARRIER ST, CHARLESTON, WV 25301-2338
(304) 344-2366
(304) 344-2369
Mailing address
1021 QUARRIER ST, CHARLESTON, WV 25301-2338
(304) 344-2366
(304) 344-2369
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S-1998
OH
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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