Organization
CHRISTOPHER A STANSBURY OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER A STANSBURY OD (CEO)
(304) 343-3937
Entity
Organization
Contact information
Practice address
500 LEE ST E, SUITE 150, CHARLESTON, WV 25301-3200
(304) 343-3937
(304) 343-1590
Mailing address
500 LEE ST E, SUITE 150, CHARLESTON, WV 25301-3200
(304) 343-3937
(304) 343-1590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1017-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017-OD
LICENSE
WV
01
—
V05508
UPIN
WV
Enumeration date
01/17/2011
Last updated
11/28/2011
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