OrganizationActive
Greenbrier Physicians, Inc. Optical Shop
NPI 1861629917 · Ophthalmic Technician/Technologist · Ronceverte, WV
Provider details
- NPI number
- 1861629917
- Entity type
- Organization
- Primary specialty
- Ophthalmic Technician/TechnologistEye and Vision Services Providers
- Parent organization
- Greenbrier Physicians, Inc.
- Organization subpart
- Yes
- Authorized official
- John Trout, Clinic Administrator(304) 647-1140
Specialties & taxonomies
Eye and Vision Services Providers
- Technician/Technologist156F00000X
Eye and Vision Services Providers
- Contact Lens Technician/Technologist156FC0800X
Eye and Vision Services Providers
- Contact Lens Fitter156FC0801X
Eye and Vision Services Providers
- Ophthalmic Assistant156FX1101X
Eye and Vision Services Providers
Practice location
200 Maplewood Ave
Ronceverte, WV 24970-1334
Phone: (304) 647-1147
Fax: (304) 647-3006
Approximate (ZIP-level) locationGet directions
Mailing address
200 Maplewood Ave
Ronceverte, WV 24970-1334
Registry dates
- Enumerated
- 2009-06-16
- Last updated
- 2009-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.