Organization
FREEMAN EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY DALE FREEMAN O.D. (OWNER)
(304) 752-5659
Entity
Organization
Contact information
Practice address
77 NORMAN MORGAN BLVD, LOGAN, WV 25601-3477
(304) 752-5659
(304) 752-6329
Mailing address
519 2ND ST W, MADISON, WV 25130-1043
(304) 752-5659
(304) 752-6329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1003-OD
WV
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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