Doctor Name: | DR. ANDREW JAMES OLLERTON |
NPI Number: | 1619233806 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01072925A |
Business Practice Address: | 1 Medical Center Dr Wvu Eye Center Morgantown, WV - 26506 |
Business Phone Number: | 3045986963 |
Business Fax Number: | 3045986928 |
Mailing Address: | 2537 Suncrest Vlg, MORGANTOWN |
State: | WV |
Postal Code: | 265053842 |
Phone Number: | 8063170264 |
Fax Number: | 8063170264 |
NPI Enumeration Date: | 04/02/2012 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01072925A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |