Jesse Ben Mize III & Christie Mize Ptr
NPI #1881643583 in Ravenswood, West Virginia
Provider Information
- NPI Number
- 1881643583
- Entity Type
- Organization
- Organization Name
- Jesse Ben Mize III & Christie Mize Ptr
- Primary Specialty
- Optometrist
- Enumeration Date
- May 9, 2006
- Last Updated
- Feb 12, 2010
Practice Location
- Address
- 706 WASHINGTON ST
- City
- Ravenswood
- State
- West Virginia
- ZIP Code
- 26164-1772
- Phone
- (304) 273-2020
Authorized Official
- Name
- VIRGINIA E TAYLOR
- Title
- OFFICE MANAGER
- Phone
- (304) 273-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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