NPI 1154585941

Mary Jane Tudor

Practitioner Optician Sophia, WV

Practice location

Address: 834 Robert C Byrd Drive Unit B, Sophia, WV 25921
Phone: (304) 683-3580
Fax: (304) 683-3582
Mailing address: PO Box 103 500 East Railroad Ave, Sophia, WV 25921

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in West Virginia →

Registry record

NPI: 1154585941
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2008
Record last updated: 11 Jul 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.