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
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