Charles D Field III OD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

582-OD Issued in WV

Legal business name

CHARLES D FIELD III OD

Practice address

701 S Oakwood Ave
Beckley, WV 25801-5929

Phone

(304) 253-3150

Fax

(304) 252-9087

NPI assigned

Jun 6, 2008

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Debbie Kay Wickline

Title

Office Manager

Phone

(304) 253-3150

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1629237474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S OAKWOOD AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015929",
            "telephone_number": "304-253-3150",
            "fax_number": "304-252-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S OAKWOOD AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015929",
            "telephone_number": "304-253-3150",
            "fax_number": "304-252-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D FIELD III OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WICKLINE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-253-3150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "582-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001522821",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150202000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles F Bou-Abboud MD PLLC
• Charleston Area Medical Center Inc
• Charleston Area Medical Center Inc
• Charleston Area Medical Center Inc

• Durable Medical Equipment & Medical Supplies in Beckley, WV
• Providers in Beckley, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.