Glen Dale Vision Center

LBN: Terry L Williams O D Inc
Glen Dale Vision Center is an health care organization with primary practice located at 12 Wheeling Ave , Glen Dale WV 26038-1529. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Terry L Williams O D Inc can be contacted via phone (304) 843-1445, or through Williams, Terry L via phone (304) 843-1445.

Contact Information

Primary practice address
12 Wheeling Ave Glen Dale WV 26038-1529
Phone: (304) 843-1445
Fax: (304) 843-1446
Website:
Map and Directions
Authorized official contact:
Name: Williams, Terry L Doctor of Optometry (OD)
Phone: (304) 843-1445

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 645D West Virginia

Profile Details

NPI number 1053393645
LBN Legal business name Terry L Williams O D Inc
DBA Doing business as Glen Dale Vision Center
Authorized official Williams, Terry L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Feb 23rd, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053393645 NPPES
West Virginia Other 001720254 MOUNTAIN STATE BLUE CROSS

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