Organization
ALLEGANY OPTICAL LLC
Active
Other names
ALLEGANY OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK M FLEMING O.D. (O.D. / MANAGING MEMBER)
(304) 267-9911
Entity
Organization
Contact information
Practice address
838 SOMERSET BLVD, CHARLES TOWN, WV 25414-5625
(304) 725-4828
(304) 725-4217
Mailing address
838 SOMERSET BLVD, CHARLES TOWN, WV 25414-5625
(304) 725-4828
(304) 725-4217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1045-5379
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201708000
—
WV
01
—
CH4518
RAILROAD MEDICARE
WV
Enumeration date
11/15/2007
Last updated
08/16/2012
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