NPI 1861629917
Greenbrier Physicians, INC. Optical Shop
Practice location
- Address
- 200 Maplewood Ave, Ronceverte, WV 24970-1334
- Phone
- (304) 647-1147
- Fax
- (304) 647-3006
Authorised official
- Name
- John D. Trout
- Title
- Clinic Administrator
- Phone
- (304) 647-1140
Registered specialties (5)
Ophthalmic Technician/Technologist
Primary
Technician/Technologist
Contact Lens Technician/Technologist
Contact Lens Fitter
Ophthalmic Assistant
Registry record
- NPI
- 1861629917
- Entity type
- Organization
- NPI issued
- 16 Jun 2009
- Record last updated
- 16 Jun 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.