Provider Demographics
NPI:1215342928
Name:WEST POINT OPTICAL BRIDGEWATER FALLS
Entity type:Organization
Organization Name:WEST POINT OPTICAL BRIDGEWATER FALLS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STORE GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-893-1461
Mailing Address - Street 1:3373 PRINCETON RD
Mailing Address - Street 2:#121
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5416
Mailing Address - Country:US
Mailing Address - Phone:513-893-1461
Mailing Address - Fax:
Practice Address - Street 1:3373 PRINCETON RD
Practice Address - Street 2:#121
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-5416
Practice Address - Country:US
Practice Address - Phone:513-893-1461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier