Organization
TEA VISION INC
Active
Other names
Valley Vision Teays
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD DAVID ROSE (PRESIDENT)
(304) 757-8883
Entity
Organization
Contact information
Practice address
5 PUTNAM VILLIAGE, TEAYS, WV 25569
(304) 757-8883
(304) 757-8883
Mailing address
PO BOX 336, 5 PUTNAM VILLIAGE, TEAYS, WV 25569-0336
(304) 757-8883
(304) 757-8883
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151333001
—
WV
Enumeration date
11/09/2006
Last updated
08/22/2020
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