NPI 1053917468

Loraine Thomas

Organisation Optician Bridgeport, WV

Practice location

Address: 139 Conference Center Way STE 121, Bridgeport, WV 26330-9147
Phone: (304) 627-5588
Mailing address: 850 Spaur Run Road, Clarksburg, WV 26301

Authorised official

Name: Jordan Renee Morrison
Title: Optician/Owner
Phone: (304) 627-5588

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in West Virginia →

Registry record

NPI: 1053917468
Entity type: Organization
NPI issued: 10 Dec 2020
Record last updated: 10 Dec 2020

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.