BRONDSTATERS OPTICAL AMERICA; NPI #1710078225

Contact Information

BRONDSTATERS OPTICAL AMERICA

800 FOXCROFT AVENUE
SUITE 914
MARTINSBURG, WV 25401

Phone: 304-263-2020
Fax: 304-263-2935
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BRONDSTATERS OPTICAL AMERICA

NPI Number 1710078225

LBN Legal business name BRONDSTATERS OPTICAL AMERICA

Authorized official PHILIP BRONDSTATER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/28/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

WV	Medicaid	3810002980
WV	Other	16784	AVESIS
WV	Other	338639	CLARITY VISION
WV	Other	VA0031	EYE MED
WV	Other	501161	NVA
WV	Other	WV10170	VBA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRONDSTATERS OPTICAL AMERICA

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BRONDSTATERS OPTICAL AMERICA

Reviews for BRONDSTATERS OPTICAL AMERICA