Organization
ANGOTTI FAMILY EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI ANGOTTI O.D. (OWNER)
(304) 629-6859
Entity
Organization
Contact information
Practice address
120 MEDICAL PARK DR, SUITE 104, BRIDGEPORT, WV 26330-9012
(304) 842-4000
(304) 842-8002
Mailing address
120 MEDICAL PARK DR, SUITE 104, BRIDGEPORT, WV 26330-9012
(304) 842-4000
(304) 842-8002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
990-OD
WV
Other
Enumeration date
10/29/2014
Last updated
11/18/2014
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