Antonin Ocular Prosthetics, LLC

NPI #1417371717 in Beckley, West Virginia

Provider Information

NPI Number
1417371717
Entity Type
Organization
Organization Name
Antonin Ocular Prosthetics, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ANTONINI OCULAR PROSTHETICS, LLC
Primary Specialty
Technician/Technologist - Ocularist
Enumeration Date
Feb 7, 2014
Last Updated
Feb 7, 2014

Practice Location

Address
70 BROOKSHIRE LANE
Address 2
BLAYDES CLINIC
ZIP Code
25801
Phone
(304) 994-0719

Authorized Official

Name
MR. CHRISTOPHER ANTONINI
Title
OWNER
Phone
(304) 594-0719

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OcularistOcularist

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