Charleston Vision Source is a Optometrist Center in Charleston, West Virginia. This organization is also known as sub part of Moderneyes, Pllc. It is situated at 4202 Maccorkle Ave Se, Charleston and its contact number is 304-925-4761. The authorized person of Charleston Vision Source is Dr. Laura M Suppa Sammons
who is Optometrist of the clinic and their contact number is 304-545-8366. Other organizations associated with this clinic are Moderneyes, Pllc, William Alan Rada, Od, Charleston Vision Source Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Charleston Vision Source Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
4202 Maccorkle Ave Se, Charleston, West Virginia, 25304-2502
Phone:
304-925-4761
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Laura M Suppa Sammons
Position:
Optometrist
Contact Number:
304-545-8366
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Charleston Vision Source Center are as mentioned below.
NPI Number:
1649933763
Parent Organization:
Moderneyes, Pllc
NPI Enumeration Date:
15 Oct, 2021
NPI Last Update On:
25 May, 2023
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Moderneyes, Pllc
Optometry
1649933763
William Alan Rada, Od
Optometry
1841485687
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charleston Vision Source are as mentioned below.
Specialization
License Number
State
Status
Optometrist
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3910005909
Medicaid
West Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Charleston Vision Source 1171 Creekstone Rdg, South Charleston, West Virginia
Zip:
25309-9476
Phone Number:
304-545-8366
Patients can reach Charleston Vision Source at 4202 Maccorkle Ave Se, Charleston, West Virginia or can call to book an appointment on 304-925-4761. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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