Wayne Dougherty Dba Wheeling Optical

LBN: Wayne Dougherty Dba Wheeling Optical
Wayne Dougherty Dba Wheeling Optical is an health care organization with primary practice located at 1101 Market Street , Wheeling WV 26003-2905. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Wayne Dougherty Dba Wheeling Optical can be contacted via phone (304) 232-6501, or through Dougherty, Wayne via phone (304) 232-6501.

Contact Information

Primary practice address
1101 Market Street Wheeling WV 26003-2905
Fax: (304) 232-6502
Website:
Authorized official contact:
Name: Dougherty, Wayne

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 05 7 00045 West Virginia
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 0507000045 West Virginia

Profile Details

NPI number 1871763862
LBN Legal business name Wayne Dougherty Dba Wheeling Optical
DBA Doing business as
Authorized official Dougherty, Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2008
Last updated Mar 5th, 2008 - about 18 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 1871763862 NPPES
West Virginia MEDICAID 0151762000

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