SPECTACLE SHOPPE LLC
Organization (NPI-2)
Active
Technician/Technologist, Optician
Provider Information
- NPI Number
1962653923- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4513 MACCORKLE AVE SW, SOUTH CHARLESTON, WV, 253091408
- Phone
- (304) 768-7371
- Fax
- (304) 720-3628
Specialties & Taxonomies
Technician/Technologist, Optician
Primary License: WV #82110