Fairmont Eye Care INC
Optometrist in Fairmont, WV. Organization (NPI-2).
NPI number1104889971
StatusActive
Last updated in NPPESSep 12, 2026
Details
- NPI
- 1104889971
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairmont Eye Care INC
- Organization subpart
- No
- Enumeration date
- Apr 11, 2006
- Certification date
- Sep 12, 2026
- Last updated
- Sep 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | WV | Yes |
Practice location
709 Morgantown AveFairmont, WV 26554
Phone 304-366-4721 · Fax 304-366-4847
Mailing address
709 Morgantown AveFairmont, WV 26554-4331
Phone 304-366-4721 · Fax 304-366-4847
Authorized official
Philip Marc Wilmoth
President Doctor
3043664721
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