Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH NOEL DISTEFANO, OD
ActiveELIZABETH NOEL DISTEFANO, OD is a Optometrist healthcare provider located in WAYNE, West Virginia. NPI 1639458276 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WAYNE, WV
Registration Details
- NPI Number
- 1639458276
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2011 (14.814165404845 yrs)
- Last Updated
- May 28, 2024
- Licenses
-
0618002273 (VA)2045-IOD (WV)
Practice Information
- Address
-
42 MCGINNIS DRWAYNE, WV, 255709553Browse WV providers · Browse ZIP 25570
- Phone
- 3042725136
- Fax
- 3042726261
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
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.