| Provision Llc | |
|
306 Southridge Blvd, South Charleston, WV 25309-9434 | |
| (304) 744-4017 | |
| (304) 744-4018 |
| Full Name | Provision Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 306 Southridge Blvd, South Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609312537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2030-IOD (West Virginia) | Primary |
| Provider Name | Summer D Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992131627 PECOS PAC ID: 2567690712 Enrollment ID: I20140114001692 |
| Provider Name | David J Beecher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093950834 PECOS PAC ID: 0547323099 Enrollment ID: I20170522002084 |
| Mailing Address | Practice Location Address |
|---|---|
| Provision Llc 306 Southridge Blvd, South Charleston, WV 25309-9434 Ph: (304) 744-4017 | Provision Llc 306 Southridge Blvd, South Charleston, WV 25309-9434 Ph: (304) 744-4017 |
Dr. Louis J Stanley, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 306 Southridge Blvd, South Charleston, WV 25309 Phone: 304-744-4017 | |
Advanced Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 4030 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-2220 Fax: 304-766-0824 | |
Sarah Yates Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 D St, South Charleston, WV 25303 Phone: 304-744-1303 Fax: 304-744-1316 | |
Travis Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 D St, South Charleston, WV 25303 Phone: 304-744-1303 Fax: 304-744-1316 | |
Eyecareone Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4008 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-744-9533 | |
Dr. Elicia Beth Miller, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4030 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-2220 Fax: 304-766-0824 | |
Mrs. Rebecca V St Jean, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4030 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-2220 Fax: 304-766-0824 |