MISS MISTY LANE (NPI# 1790271211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790271211 |
| Entity Type | Individual |
| Full Name | MISS MISTY LANE |
| Credential | OD |
| Practice Address |
324 Oakvale Rd Ste 100 Princeton WV 24740-3829 |
| Practice Telephone | 3044252444 |
| Practice Fax Number | 3044252446 |
| Mailing Telephone | 3044252444 |
| Mailing Fax Number | 3044252446 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2048-IOD | WV | Eye and Vision Services Providers |
| Street Address |
324 OAKVALE RD STE 100 |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901813 | Mckenzie Vandyke | Optometrist | 324 Oakvale Rd Ste 100, Princeton, WV 24740-3829 | 2020-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083270359 | Spencer Lin | Optometrist | 3535 Us Highway 1 Ste 416, Princeton, NJ 08540-5974 | 2019-05-13 |
| 1245682608 | Kenneth Cole | Optometrist | 310 Locust St # 6, Princeton, WV 24740-3625 | 2016-07-11 |
| 1144675760 | Deseye, LLC | Optometrist | 701 West Princeton Dr, Princeton, TX 75407 | 2016-05-02 |
| 1093158404 | Eyestat Optometric Services, P.a. | Optometrist | 720 Pondfield Rd, Princeton, NC 27569 | 2013-04-16 |
| 1548551336 | Appalachian Eye Care Inc | Optometrist | 324 Oakvale Rd, Suite 100, Princeton, WV 24740-3915 | 2011-04-27 |
| 1023279742 | Princeton Eye Center | Optometrist | 2024 Sherman Dr, Princeton, IN 47670-1045 | 2008-06-25 |
| 1578756631 | Appalachian Eye Care | Optometrist | 700 Oakvale Rd, Princeton, WV 24740-3915 | 2007-08-22 |
| 1992925176 | Berlin Family Eye Care Sc | Optometrist | 100b E. Main St, Princeton, WI 54968 | 2007-04-27 |
| 1770623548 | Harin Rajeev | Optometrist | 3535 Route 1 S, Suite 416, Princeton, NJ 08540-5903 | 2007-02-08 |
| 1174688725 | Glenn Orville Kallevig | Optometrist | 101 S Rum River Dr, Princeton, MN 55371-1815 | 2006-12-26 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.