Organization
REBECCA ST JEAN OD INC
Active
Other names
Advanced Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA V ST. JEAN O.D. (OWNER)
(304) 766-2220
Entity
Organization
Contact information
Practice address
4030 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1510
(304) 766-2220
(304) 766-0824
Mailing address
4030 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1510
(304) 766-2220
(304) 766-0824
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
989-OD
WV
Other
Enumeration date
04/29/2008
Last updated
11/05/2012
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