Organization
MONONGALIA EYE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. V K RAJU MD (OWNER/PHYSICIAN)
(304) 598-0055
Entity
Organization
Contact information
Practice address
3140 COLLINS FERRY RD, MORGANTOWN, WV 26505-3352
(304) 598-0055
(304) 598-0058
Mailing address
3140 COLLINS FERRY RD, MORGANTOWN, WV 26505-3352
(304) 598-0055
(304) 598-0058
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
01/06/2009
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