Misty Dawn Lane (NPI# 1790271211, PAC ID# 1456603489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1790271211 |
| PAC ID by PECOS | 1456603489 |
| Professional Enrollment ID | I20181002003167 |
| Full Name | Misty Dawn Lane |
| Organization Legal Name | APPALACHIAN EYE CARE INC |
| Address |
324 Oakvale Rd Suite 100 Princeton WV 24740-3829 |
| Phone Number | 3044252444 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1951588730 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 700 Wenonah Ave, Pearisburg, VA 24134-1638 | 5409214116 | NEW RIVER EYE CARE FAMILY OPTOMETRY PC |
| 324 Oakvale Rd, Suite 100, Princeton, WV 24740-3829 | 3044252444 | APPALACHIAN EYE CARE INC |
| Organization Legal Name | APPALACHIAN EYE CARE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Reed Bowen | Optometry | Appalachian Eye Care Inc | 324 Oakvale Rd, Suite 100, Princeton, WV 24740-3829 |
| Street Address |
324 OAKVALE RD SUITE 100 |
| City | PRINCETON |
| State | WV |
| Zip | 24740-3829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh Brooks | Nurse Practitioner | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Angela Sparks | Nurse Practitioner | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Joseph Clary Kirkpatrick | General Practice | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Angela Michelle Akers | Nurse Practitioner | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Nicholas Samuel Muscari | Family Medicine | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Robin E Riddle | Nurse Practitioner | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Jacob Reed Bowen | Optometry | Appalachian Eye Care Inc | 324 Oakvale Rd, Suite 100, Princeton, WV 24740-3829 |
| Jenine L Ward | Nurse Practitioner | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Tracy Mckenzie | Nurse Practitioner | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Melissa Bogle | Nurse Practitioner | Bluestone Health Association Inc | 324 Oakvale Rd, Suite 12, Princeton, WV 24740-3829 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | OPTOMETRY |
| City + Specialty | PRINCETON + OPTOMETRY |
Please comment or provide details below to improve the information on Misty Dawn Lane.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.