=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801171517
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEST VIRGINIA EYE CONSULTANTS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/13/2011
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 SUMMERS ST
-----------------------------------------------------
City | CHARLESTON
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25301-1239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-343-3937
-----------------------------------------------------
Fax | 304-344-3957
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 501 SUMMERS ST
-----------------------------------------------------
City | CHARLESTON
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25301-1239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-343-3937
-----------------------------------------------------
Fax | 304-344-3957
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD/PART OWNER
-----------------------------------------------------
Name | JOSEPH JEFFERDS SINCLAIR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 304-343-3937
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------