Vienna Eye Clinic

LBN: R Joe Weaver Od
Vienna Eye Clinic is an health care organization with primary practice located at 1600 Grand Central Ave , Vienna WV 26105-1059. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. R Joe Weaver Od can be contacted via phone (304) 295-8561, or through Weaver, Rusty Joe via phone (304) 295-8561.

Contact Information

Primary practice address
1600 Grand Central Ave Vienna WV 26105-1059
Phone: (304) 295-8561
Fax: (304) 295-9164
Website:
Map and Directions
Authorized official contact:
Name: Weaver, Rusty Joe Doctor of Optometry (OD)
Phone: (304) 295-8561

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1770694390
LBN Legal business name R Joe Weaver Od
DBA Doing business as Vienna Eye Clinic
Authorized official Weaver, Rusty Joe Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 30th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770694390 NPPES
West Virginia MEDICAID 3810006279

Popular Providers