Organization
SPECTACLE SHOPPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE RASHID MD (MANAGER)
(304) 768-7371
Entity
Organization
Contact information
Practice address
4513 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1408
(304) 768-7371
(304) 720-3628
Mailing address
4513 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1408
(304) 768-7371
(304) 720-3628
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
82110
WV
Other
Enumeration date
10/08/2008
Last updated
01/13/2011
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