Organization
GREGMAR INC
Active
Other names
The Focal Point
Organization subpart
No
Provider details
NPI number
Authorized official
JIM RUMBAUGH (MANAGER)
(304) 453-4072
Entity
Organization
Contact information
Practice address
#1 FAIRWOOD LANE, CEREDO, WV 25507
(304) 453-4072
Mailing address
PO BOX 488, CEREDO, WV 25507-0488
(304) 453-4072
(304) 453-6172
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000290362
MOUNTAIN STATE BLUE CROSS
WV
05
—
0151173000
—
WV
01
—
=========
FEDERAL EMPOYER ID
WV
Enumeration date
02/20/2006
Last updated
12/28/2021
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