Organization
FAMILY EYECARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY L. TINGLER (BILLING CLERK)
(304) 636-9111
Entity
Organization
Contact information
Practice address
1500 HARRISON AVE, ELKINS, WV 26241-3327
(304) 636-9111
(614) 923-9575
Mailing address
1500 HARRISON AVE, ELKINS, WV 26241-3327
(304) 636-9111
(614) 923-9575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
867-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149464000
—
WV
05
—
0150280000
—
WV
01
—
1447240205
NPI EDWARD CLIFTON HYRE
WV
01
—
1821150970
GROUP NPI
WV
01
—
1992795835
NPI CRAIG C. HYRE
WV
05
—
3810006295
—
WV
Enumeration date
12/15/2006
Last updated
04/26/2012
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