Tasso Butler

NPI #1538335401 in Lewisburg, West Virginia

Provider Information

NPI Number: 1538335401
Entity Type: Organization
Organization Name: Tasso Butler
Subpart: Yes (part of a larger organization)
Parent Organization: TASSO S. BUTLER, JR. O.D.
Primary Specialty: Eyewear Supplier
Enumeration Date: May 1, 2008
Last Updated: Sep 18, 2008

Practice Location

Address: US RT 219
Address 2: GREENBRIER VALLEY MALL
City: Lewisburg
State: West Virginia
ZIP Code: 24901
Phone: (304) 645-6408

Authorized Official

Name: TASSO S. BUTLER JR., O.D.
Title: OWNER
Phone: (304) 645-6408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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