Healthcare Provider Details

I. General information

NPI: 1194335653
Provider Name (Legal Business Name): ABIGAIL DONIGIAN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBEY DONIGIAN OD

II. Dates (important events)

Enumeration Date: 08/08/2020
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SUMMERS ST
CHARLESTON WV
25301-1239
US

IV. Provider business mailing address

501 SUMMERS ST
CHARLESTON WV
25301-1239
US

V. Phone/Fax

Practice location:
  • Phone: 304-343-3937
  • Fax: 304-344-3957
Mailing address:
  • Phone: 304-343-3937
  • Fax: 304-344-3957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3031-IOD
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number3031-IOD
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: