NPI 1053586008

Rebecca St Jean OD INC

Organisation Optometrist South Charleston, WV

Practice location

Address: 4030 Maccorkle Ave SW, South Charleston, WV 25309-1510
Phone: (304) 766-2220
Fax: (304) 766-0824

Authorised official

Name: Rebecca V St. Jean
Title: Owner
Phone: (304) 766-2220

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 989-OD (WV)

Other Optometrist providers in West Virginia →

Registry record

NPI: 1053586008
Entity type: Organization
NPI issued: 29 Apr 2008
Record last updated: 5 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.