RANDOLPH COUNTY EYE CARE CENTER PC
Optometry at Chenoweth Creek Rd, Elkins, WV

License number
West Virginia WV93800
Category
Optometry
Type
Optometrist
Owner
Name: JENNA LOUISE GONGOLA OD
Title: PRESIDENT OPTOMETRIST
Phone: (304) 636-3887
Address
Address
250/219 Chenoweth Creek Rd, Elkins, WV 26241
National Provider ID: 1780779835
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RANDOLPH COUNTY EYE CARE CENTER, PC

Elkins, WV

Industry:
Health Care and Social Assistance, Ambulatory Health Care Services, Offices of Other Health Practitioners
Registration:
Oct 3, 1997
Addresses:
PO Box 1489, Elkins, WV 26241 (Mailing)
1009 W Central St, Elkins, WV 26241 (Physical)
Business type:
Corporation
Presidents:
Jenna G. Gongola (Incorporator), 315 Graham St, Elkins, WV 26241,Jenna Gongola (President), 1009 W Central St, Elkins, WV 26241

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