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LAWRENCE M MINARDI NPI 1336216498


NPI Information

NPI: 1336216498
Provider Name: LAWRENCE M MINARDI

Doing Business As: EYE CENTER OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
500 DONNALLY ST
SUITE 101
CHARLESTON, WV
ZIP 25301
Phone: (304) 346-0292
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LAWRENCE M MINARDI is an eyewear supplier in Charleston, WV. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. LAWRENCE M MINARDI NPI is 1336216498. The provider is registered as an organization entity type.
The provider Is Doing Business As Eye Center Optical.

The provider's business location address is:

500 DONNALLY ST
SUITE 101
CHARLESTON, WV
ZIP 25301-648
Phone: (304) 346-0292
Fax: (304) 343-1423

The provider's authorized official is Lawrence Matthew Minardi .
The authorized official title is Owner and has the following contact phone number (304) 343-6219.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 10/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10217080001MEDICARE NSCWEST VIRGINIA
20151307000MEDICAIDWEST VIRGINIA
30217080001MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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