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General NPI Number Information
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NPI Number | 1689904419
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Entity Type | Organization
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Legal Business Name | SISTERSVILLE EYECARE CENTER, INC.
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 624 WELLS ST
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City | SISTERSVILLE
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State | WV
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Zip | 26175-1324
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Country | US
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Telephone | 304-652-2459
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Fax | 304-652-1551
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Provider Business Mailing Address
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Address Line | 624 WELLS ST
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City | SISTERSVILLE
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State | WV
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Zip | 26175-1324
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Country | US
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Telephone | 304-652-2459
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Fax | 304-652-1551
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT NEIL CHRISTEN II
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Credential | OPTOMETRIST
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Telephone | 304-652-2459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1014OD
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License Number State | WV
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