Healthcare Provider Details

I. General information

NPI: 1801171517
Provider Name (Legal Business Name): WEST VIRGINIA EYE CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2011
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
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 Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH JEFFERDS SINCLAIR
Title or Position: MD/PART OWNER
Credential: MD
Phone: 304-343-3937