Individual
DR. TASSO S BUTLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
413 GREENBRIER VALLY MALL DR, SUITE 2, LEWISBURG, WV 24901-1794
(304) 645-2799
(304) 647-3962
Mailing address
US RT 219, GREENBRIER VALLEY MALL, LEWISBURG, WV 24901
(304) 645-2799
(304) 647-3962
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601000803
VA
152W00000X
Optometrist
Primary
658OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001717454
BC BS MT STATE
WV
05
—
009206698
—
VA
05
—
0150878000
—
WV
01
—
208525
BLUE CROSS/BLUE SHIELD
VA
01
—
410002504
RR MEDICARE
WV
01
—
410038164
RAILROAD MEDICARE
VA
Enumeration date
05/16/2006
Last updated
04/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us