Healthcare Provider Details

I. General information

NPI: 1669569182
Provider Name (Legal Business Name): CHANEY EYE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MADISON AVE
MADISON WV
25130-1511
US

IV. Provider business mailing address

PO BOX 86
MADISON WV
25130-0086
US

V. Phone/Fax

Practice location:
  • Phone: 304-369-0632
  • Fax: 304-369-0633
Mailing address:
  • Phone: 304-369-0632
  • Fax: 304-369-0633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number864OD
License Number StateWV

VIII. Authorized Official

Name: DR. DONNA M CHANEY-SAYRE
Title or Position: PRESIDENT/OWNER
Credential: O.D.
Phone: 304-369-0632