Organization
REGIONAL EYE ASSOCIATES, INC
Active
Other names
Regional Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR C GAMPONIA (AUTHORIZED REP)
(304) 598-3301
Entity
Organization
Contact information
Practice address
1405 CHANDELL ST, KEYSER, WV 26726-2012
(304) 598-3301
(304) 225-0516
Mailing address
1255 PINEVIEW DR., WHITE BIRCH TOWER 1, MORGANTOWN, WV 26505-2738
(304) 598-3301
(304) 225-4289
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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