Organization Name: | ROBERT L & CHERYL R JOSEPH DBA PROFESSIONAL OPTICAL CENTER |
NPI Number: | 1053499467 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT L JOSEPH (OWNER) |
Mailing Address: | 1300 Market St Wheeling |
State: | WV US |
Postal Code: | 26003 |
Phone Number: | 3042326911 |
Fax Number: | 3042326911 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 9134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |