Provider Demographics
NPI:1497905186
Name:EYES ON THE VALLEY
Entity Type:Organization
Organization Name:EYES ON THE VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GINIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-723-0477
Mailing Address - Street 1:117 THREE SPRINGS DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-3827
Mailing Address - Country:US
Mailing Address - Phone:304-723-0477
Mailing Address - Fax:304-723-0778
Practice Address - Street 1:117 THREE SPRINGS DR
Practice Address - Street 2:SUITE C
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-3827
Practice Address - Country:US
Practice Address - Phone:304-723-0477
Practice Address - Fax:304-723-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV99A4T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty