ETHAN CORY ALLEN ADKINS

WHITE EYECARE CENTER INC

Dr ETHAN CORY ALLEN ADKINS is a male medical professional, specializing in Optometry. He graduated in 2018 from Southern College Of Optometry.

Contact

WHITE EYECARE CENTER INC

407 GEORGE KOSTAS DR
LOGAN
WV
256013747

Tel: 3047522020

ETHAN CORY ALLEN ADKINS Information

Npi 1154813566
Pac Id 5991052714
Professional Enrollment Id I20180724003036
Last Name ADKINS
First Name ETHAN
Middle Name CORY ALLEN
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 2018
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WHITE EYECARE CENTER INC
Group Practice Pac Id 7214054972
Number Of Group Practice Members 3
Line 1 Street Address 407 GEORGE KOSTAS DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LOGAN
State WV
Zip Code 256013747
Phone Number 3047522020
Hospital Affiliation Ccn 1 510048
Hospital Affiliation Lbn 1 LOGAN REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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