Organization
THE EYE CENTER OF GREENBRIER VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP N LIGHT MD (CEO)
(304) 793-3937
Entity
Organization
Contact information
Practice address
101 DAVIS STUART RD, RONCEVERTE, WV 24970-9549
(304) 793-3937
(304) 793-2203
Mailing address
101 DAVIS STUART RD, RONCEVERTE, WV 24970-9549
(304) 793-3937
(304) 793-2203
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
F25588
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095836003
—
WV
Enumeration date
02/07/2006
Last updated
07/30/2008
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