Provider Demographics
NPI:1275619728
Name:CATARACT & REFRACTIVE SURGERY INSTITUTE, INC.
Entity Type:Organization
Organization Name:CATARACT & REFRACTIVE SURGERY INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:R
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ALLARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-926-0955
Mailing Address - Street 1:310 35TH ST SE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1352
Mailing Address - Country:US
Mailing Address - Phone:304-926-0955
Mailing Address - Fax:304-926-0958
Practice Address - Street 1:310 35TH ST SE
Practice Address - Street 2:SUITE 11
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1352
Practice Address - Country:US
Practice Address - Phone:304-926-0955
Practice Address - Fax:304-926-0958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV14971261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery