Organization
MOBILE VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE B. MOWERY O.D. (PRESIDENT)
(304) 346-8800
Entity
Organization
Contact information
Practice address
1650 WOODVALE DR, CHARLESTON, WV 25314-2547
(304) 346-8800
Mailing address
1650 WOODVALE DR, CHARLESTON, WV 25314-2547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149311000
—
WV
Enumeration date
02/12/2007
Last updated
05/22/2009
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