Organization
IN FOCUS OPTICAL
Active
Other names
Mountain State Eye Associates, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE ELIZABETH BOUNDS (OFFICE MANGER)
(304) 353-0222
Entity
Organization
Contact information
Practice address
1306 KANAWHA BLVD EAST, CHARLESTON, WV 25301-0301
(304) 353-0222
(304) 353-0218
Mailing address
PO BOX 5308, CHARLESTON, WV 25361-0308
(304) 353-0222
(304) 353-0218
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151723000
—
WV
Enumeration date
11/16/2012
Last updated
11/16/2012
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