Organization
MOUNTAIN STATE VISION CARE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN G WHITE O.D. (OWNER/OPTOMETRIST)
(304) 663-1283
Entity
Organization
Contact information
Practice address
400 THREE SPRINGS DRIVE, WEIRTON, WV 26062
(304) 723-4222
(304) 723-4222
Mailing address
206 WINGATE DRIVE, PITTSBURGH, PA 15205
(304) 723-4222
(304) 723-4222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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