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Wayne Dougherty Dba Wheeling Optical
Eyewear Supplier in Wheeling, West Virginia
NPI 1871763862

Wayne Dougherty Dba Wheeling Optical is a Eyewear Supplier based in Wheeling, WV. Wayne Dougherty Dba Wheeling Optical practices in Wheeling, WV. The NPI Number for Wayne Dougherty Dba Wheeling Optical is 1871763862 and holds a License No. 05 7 00045 (West Virginia).

The current practice location address for Wayne Dougherty Dba Wheeling Optical is 1101 Market Street, Wheeling, WV and can be reached out via phone at 304-232-6501 and via fax at 304-232-6502.

Location: 1101 Market Street, Wheeling, WV, 26003-2905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871763862
Provider Name
Wayne Dougherty Dba Wheeling Optical
Credential
Provider Entity Type
Organization
Address
1101 Market Street, Wheeling, WV, 26003-2905
Phone Number
304-232-6501
Fax Number
304-232-6502
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0151762000 05 WV
institution
Provider Business Practice Location Address Details
Address
1101 Market Street
City
Wheeling
State
West Virginia
Zip
26003-2905
Phone Number
304-232-6501
Fax Number
304-232-6502
person
Provider Business Mailing Address Details
Address
1101 Market Street
City
Wheeling
State
West Virginia
Zip
26003-2905
Phone Number
304-232-6501
Fax Number
304-232-6502
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
0507000045 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
05 7 00045 (West Virginia)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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