Organization
CHARLES D FIELD III OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE KAY WICKLINE (OFFICE MANAGER)
(304) 253-3150
Entity
Organization
Contact information
Practice address
701 S OAKWOOD AVE, BECKLEY, WV 25801-5929
(304) 253-3150
(304) 252-9087
Mailing address
701 S OAKWOOD AVE, BECKLEY, WV 25801-5929
(304) 253-3150
(304) 252-9087
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
582-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001522821
BLUE CROSS BLUE SHIELD
WV
05
—
0150202000
—
WV
Enumeration date
06/06/2008
Last updated
06/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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