Individual
DR. DONNA M CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
300 MADISON AVE, MADISON, WV 25130-1511
(304) 369-0632
(304) 369-0633
Mailing address
PO BOX 86, MADISON, WV 25130-0086
(304) 369-0632
(304) 369-0633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
864OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710426
BLUE CROSS BLUE SHIELD
WV
05
—
0149448000
—
WV
01
—
410041380
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
02/06/2025
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