Individual
DR. SHIRLEY JEAN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1001 ELIZABETH ST, OAK HILL, WV 25901-2342
(304) 465-0447
(304) 465-1966
Mailing address
1001 ELIZABETH ST, OAK HILL, WV 25901-2342
(304) 465-0447
(304) 465-1966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
708OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105016000
—
WV
Enumeration date
07/28/2006
Last updated
08/20/2008
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