Provider Demographics
NPI:1285048926
Name:WEST POINT OPTICAL GROVE CITY
Entity type:Organization
Organization Name:WEST POINT OPTICAL GROVE CITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STORE GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-871-4016
Mailing Address - Street 1:1584 STRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9832
Mailing Address - Country:US
Mailing Address - Phone:614-871-4016
Mailing Address - Fax:
Practice Address - Street 1:1584 STRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9832
Practice Address - Country:US
Practice Address - Phone:614-871-4016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier