Healthcare Provider Details

I. General information

NPI: 1689904419
Provider Name (Legal Business Name): SISTERSVILLE EYECARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2009
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 WELLS ST
SISTERSVILLE WV
26175-1324
US

IV. Provider business mailing address

624 WELLS ST
SISTERSVILLE WV
26175-1324
US

V. Phone/Fax

Practice location:
  • Phone: 304-652-2459
  • Fax: 304-652-1551
Mailing address:
  • Phone: 304-652-2459
  • Fax: 304-652-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1014OD
License Number StateWV

VIII. Authorized Official

Name: DR. ROBERT NEIL CHRISTEN II
Title or Position: OWNER
Credential: OPTOMETRIST
Phone: 304-652-2459