Organization
GREENBRIER PHYSICIANS, INC. OPTICAL SHOP
Active
Parent organization
GREENBRIER PHYSICIANS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENBRIER PHYSICIANS, INC.
Authorized official
MR. JOHN D. TROUT (CLINIC ADMINISTRATOR)
(304) 647-1140
Entity
Organization
Contact information
Practice address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 647-1147
(304) 647-3006
Mailing address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 647-1147
(304) 647-3006
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
156FX1101X
Ophthalmic Assistant
—
—
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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