Organization
WESTOVER EYE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G BERARDI OD (OWNER)
(304) 825-6364
Entity
Organization
Contact information
Practice address
3208 HUSKY HWY, FARMINGTON, WV 26571-8122
(304) 825-6364
Mailing address
3208 HUSKY HWY., FARMINGTON, WV 26571
(304) 825-6364
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007303
—
WV
Enumeration date
07/29/2011
Last updated
07/21/2022
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