Whalio Doctors

NPI 1053393645

Terry L Williams O D INC

Organisation Optometrist Glen Dale, WV

Practice location

Address
12 Wheeling Ave, Glen Dale, WV 26038-1529
Phone
(304) 843-1445
Fax
(304) 843-1446

Authorised official

Name
Terry L Williams
Title
Owner/Optometrist
Phone
(304) 843-1445

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 645D (WV)

Registry record

NPI
1053393645
Entity type
Organization
NPI issued
18 Nov 2005
Record last updated
23 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.