Healthcare Provider Details

I. General information

NPI: 1497919393
Provider Name (Legal Business Name): EYE ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3660 TEAYS VALLEY ROAD
HURRICANE WV
25526
US

IV. Provider business mailing address

PO BOX 900
HURRICANE WV
25526-0900
US

V. Phone/Fax

Practice location:
  • Phone: 304-757-8700
  • Fax: 304-757-8870
Mailing address:
  • Phone: 304-757-8700
  • Fax: 304-757-8870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number21181
License Number StateWV

VIII. Authorized Official

Name: DR. DEVIN AUDRIC KING
Title or Position: MEMBER
Credential: M.D.
Phone: 304-757-8700