Mountain State Vision Care Professional Corporation
NPI #1922571645 in Weirton, West Virginia
Provider Information
- NPI Number
- 1922571645
- Entity Type
- Organization
- Organization Name
- Mountain State Vision Care Professional Corporation
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 4, 2019
- Last Updated
- Jan 4, 2019
Practice Location
- Address
- 400 THREE SPRINGS DRIVE
- City
- Weirton
- State
- West Virginia
- ZIP Code
- 26062
- Phone
- (304) 723-4222
Authorized Official
- Name
- AUSTIN G WHITE, O.D.
- Title
- OWNER/OPTOMETRIST
- Phone
- (304) 663-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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