Organization
DR. KRESS EYECARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE D KRESS (OWNER)
(304) 472-1235
Entity
Organization
Contact information
Practice address
100 W MAIN ST, SUITE A, BUCKHANNON, WV 26201-2237
(304) 472-1235
(304) 472-1245
Mailing address
100 W MAIN ST, SUITE A, BUCKHANNON, WV 26201-2237
(304) 472-1235
(304) 472-1245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710926
BCBS
WV
05
—
4000412001
—
WV
01
—
DD7301
RAILROAD
WV
Enumeration date
01/22/2007
Last updated
07/21/2009
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