Terry L Williams O D Inc

NPI 1053393645 - Optometrist - 152W00000X

NPI Details
NPI 1053393645
Enumeration Date 11/18/2005
Last Updated 02/23/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TERRY L TERRY
Position OWNER/OPTOMETRIST
Phone (304) 843-1445
Fax (304) 843-1446
Practice Location
12 WHEELING AVE
GLEN DALE WV, 26038-1529, US
Phone (304) 843-1445
Fax (304) 843-1446
Business Location
12 WHEELING AVE
GLEN DALE WV, 26038-1529, US
Phone (304) 843-1445
Fax (304) 843-1446
Toxanomy
Taxonomy Code 152W00000X
License State West Virginia
License Number 645D
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According to our database, Terry L Williams O D Inc NPI is 1053393645, taxonomy code is 152W00000X and license number is 645D, license state is located at West Virginia. Terry L Williams O D Inc physically located at 12 Wheeling Ave, Glen Dale WV, 26038-1529. NPI Number 1033115704 has the healthcare provider type.

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1053393645 NPI number is provided on an as is basis without warranty of any kind. 1053393645 is maintained by the National Plan & Provider Enumeration System. The contents of Terry L Williams O D Inc are for informational purposes only.