Charleston Vision Source - Optometrist in Charleston, WV

Charleston Vision Source is a Optometrist based in Charleston, West Virginia. Charleston Vision Source is licensed to practice in * (Not Available) (license number ) and their current practice location is 4202 Maccorkle Ave Se, Charleston, West Virginia. It can be reached at their office (for appointments etc.) via phone at (304) 925-4761.

NPI number for Charleston Vision Source is 1649933763 and their current mailing address is 1171 Creekstone Rdg, South Charleston, West Virginia. Charleston Vision Source does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1649933763.

Contact Information

Charleston Vision Source
4202 Maccorkle Ave Se,
Charleston, WV 25304-2502
(304) 925-4761
Not Available



Healthcare Provider's Profile

Full NameCharleston Vision Source
TypeFacility
SpecialityOptometrist
Location4202 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649933763
  • Provider Enumeration Date: 10/15/2021
  • Last Update Date: 05/25/2023

Medical Identifiers

Medical identifiers for Charleston Vision Source such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649933763NPI-NPPES
3910005909MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charleston Vision Source is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charleston Vision Source
1171 Creekstone Rdg,
South Charleston, WV 25309-9476

Ph: (304) 545-8366
Charleston Vision Source
4202 Maccorkle Ave Se,
Charleston, WV 25304-2502

Ph: (304) 925-4761

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› Verified 4 days ago


Optometrist in Charleston, WV

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Dr. Donald Paul Cohen, O.D.
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