Healthcare Provider Details

I. General information

NPI: 1003842790
Provider Name (Legal Business Name): OHIO VALLEY EYE PHYSICIANS & SURGEONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 GRAND PARK DR SUITE 315
PARKERSBURG WV
26105-4000
US

IV. Provider business mailing address

418 GRAND PARK DR SUITE 315
PARKERSBURG WV
26105-4000
US

V. Phone/Fax

Practice location:
  • Phone: 304-428-3500
  • Fax: 304-422-7900
Mailing address:
  • Phone: 304-428-3500
  • Fax: 304-422-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DAVID SPENCER GEORGE
Title or Position: PARTNER
Credential: MD
Phone: 304-428-3500