| Advanced Eye Care Center | |
|
4030 Maccorkle Ave Sw, South Charleston, WV 25309-1510 | |
| (304) 766-2220 | |
| (304) 766-0824 |
| Full Name | Advanced Eye Care Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4030 Maccorkle Ave Sw, South Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053586008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 989-OD (West Virginia) | Primary |
| Provider Name | Rebecca St Jean |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215922174 PECOS PAC ID: 6608912969 Enrollment ID: I20090930000507 |
| Provider Name | Elicia B Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144410176 PECOS PAC ID: 3971649146 Enrollment ID: I20091002000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eye Care Center 4030 Maccorkle Ave Sw, South Charleston, WV 25309-1510 Ph: (304) 766-2220 | Advanced Eye Care Center 4030 Maccorkle Ave Sw, South Charleston, WV 25309-1510 Ph: (304) 766-2220 |
Dr. Louis J Stanley, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 306 Southridge Blvd, South Charleston, WV 25309 Phone: 304-744-4017 | |
Sarah Yates Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 D St, South Charleston, WV 25303 Phone: 304-744-1303 Fax: 304-744-1316 | |
Travis Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 D St, South Charleston, WV 25303 Phone: 304-744-1303 Fax: 304-744-1316 | |
Eyecareone Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4008 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-744-9533 | |
Dr. Elicia Beth Miller, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4030 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-2220 Fax: 304-766-0824 | |
Mrs. Rebecca V St Jean, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4030 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-2220 Fax: 304-766-0824 |