NPI 1780779835

Randolph County Eye Care Center PC

Organisation Optometrist Elkins, WV

Practice location

Address: Rt 250/219 Chenoweth Creek Rd, Elkins, WV 26241
Phone: (304) 636-3887
Fax: (304) 636-0538
Mailing address: PO Box 1489, Elkins, WV 26241

Authorised official

Name: Jenna Louise Gongola
Title: President Optometrist
Phone: (304) 636-3887

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence WV93800 (WV)

Other Optometrist providers in West Virginia →

Registry record

NPI: 1780779835
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 2 Apr 2008

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.