Whalio Doctors

NPI 1215922174

Rebecca V St Jean, OD

Practitioner Optometrist South Charleston, WV

Practice location

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

Registered specialties

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

Registry record

NPI
1215922174
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Sep 2005
Record last updated
4 Apr 2008

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.