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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA ST JEAN OD INC

Active Organization

REBECCA ST JEAN OD INC is a Optometrist organization located in SOUTH CHARLESTON, West Virginia. NPI 1053586008 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SOUTH CHARLESTON, WV

Registration Details

NPI Number
1053586008
Provider Type
Organization
NPI Issued
Apr 29, 2008 (18.326843100367 yrs)
Last Updated
Nov 5, 2012
License
989-OD (WV)

Practice Information

Address
4030 MACCORKLE AVE SW
SOUTH CHARLESTON, WV, 253091510
Browse WV providers · Browse ZIP 25309
Phone
3047662220
Fax
3047660824
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in SOUTH CHARLESTON, WV

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.