Provider Demographics
NPI:1194898171
Name:A-Z, INC.
Entity type:Organization
Organization Name:A-Z, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZANE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:LAWHORN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-487-2020
Mailing Address - Street 1:310 LOCUST ST.
Mailing Address - Street 2:#6
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740
Mailing Address - Country:US
Mailing Address - Phone:304-487-2020
Mailing Address - Fax:304-431-2020
Practice Address - Street 1:310 LOCUST ST.
Practice Address - Street 2:#6
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740
Practice Address - Country:US
Practice Address - Phone:304-487-2020
Practice Address - Fax:304-431-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV410002961OtherRR MEDICARE
WV0151398000Medicaid
WVWV00756481OtherFUNDS