NPI 1417371717
Antonin Ocular Prosthetics, LLC
Practice location
- Address
- 70 Brookshire Lane Blaydes Clinic, Beckley, WV 25801
- Phone
- (304) 994-0719
- Fax
- (304) 241-1858
- Mailing address
- 2208 Surrey Dr, Morgantown, WV 26505-2926
Authorised official
- Name
- Christopher Antonini
- Title
- Owner
- Phone
- (304) 594-0719
Registered specialties
Ocularist
Primary
Registry record
- NPI
- 1417371717
- Entity type
- Organization
- NPI issued
- 7 Feb 2014
- Record last updated
- 7 Feb 2014
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.