Optical 101, LLC
NPI #1982951497 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1982951497
- Entity Type
- Organization
- Organization Name
- Optical 101, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 14, 2012
- Last Updated
- Aug 14, 2012
Practice Location
- Address
- 499 HIGH ST
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26505-5516
- Phone
- (304) 296-2540
Authorized Official
- Name
- DR. THOMAS A. BRUGNOLI, O.D.
- Title
- OPTOMETRIST / MANAGING PARTNER
- Phone
- (304) 296-2540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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