Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE RENEE WICKLINE, O.D.
Active Sole ProprietorOptometrist · SALEM, WV
Registration Details
- NPI Number
- 1174521850
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2005 (20.791795977348 yrs)
- Last Updated
- Jun 29, 2012
- License
-
913OD (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
RT 1 BOX 75-4SALEM, WV, 26426Browse WV providers · Browse ZIP 26426
- Phone
- 3047821005
- Fax
- 3047823303
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SALEM, WV
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH AUDIA | O.D. | 1679535777 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.