DR. MICHELLE RENEE WICKLINE (NPI# 1174521850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174521850 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE RENEE WICKLINE |
| Credential | O.D. |
| Practice Address |
Rt 1 Box 75-4 Salem WV 26426 |
| Practice Telephone | 3047821005 |
| Practice Fax Number | 3047823303 |
| Mailing Telephone | 3047821005 |
| Mailing Fax Number | 3047823303 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 913OD | WV | Eye and Vision Services Providers |
| Street Address |
RT 1 BOX 75-4 |
| City | SALEM |
| State | WV |
| Zip Code | 26426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861685281 | Joseph Audia, Od | Optometrist | Rt 1 Box 75-4, Salem, WV 26426 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063972099 | Phillip King | Occupational Therapist | 225 Sunbridge Dr., Salem, WV 26426 | 2019-03-25 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1295240992 | Charlotte Spicer | Technician | 57 New York Avenue, Salem, WV 26426 | 2017-12-05 |
| 1649639618 | City of Salem | Ambulance | 60 Mills Street, Salem, WV 26426 | 2016-02-18 |
| 1114351202 | Alexandria Danielle Johnson | Nurse Practitioner | 2373 W. Main St., Suite 102, Salem, WV 26426 | 2013-08-26 |
| 1427173913 | Tracy Lynn Brady | Physical Therapy Assistant | 146 Water St., Salem Care and Rehabilitation, Salem, WV 26426 | 2007-03-21 |
| 1144329707 | Mary Caroline Mikowski | Family Medicine | Rt 50 West, Salem, WV 26426 | 2006-09-21 |
| 1619329331 | Melissa Braun | Student in an Organized Health Care Education/Training Program | 225 Water St, Salem, WV 26426 | 2016-07-06 |
| 1811231590 | Laura Foster | Speech-Language Pathologist | 146 Water St, Salem, WV 26426-1154 | 2012-11-19 |
| 1669719704 | Ashton Meek | Physical Therapy Assistant | 146 Water St, Salem, WV 26426-1154 | 2013-01-09 |
| Find all providers in zip 26426 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003367145 | Melda Nil Esendal | Optometrist | 116r Highland Avenue, Salem, MA 01970 | 2016-10-24 |
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1073948311 | Orbal Mariam Anwari | Optometrist | 305 Liberty St Ne, Salem, OR 97301-3519 | 2013-09-05 |
| 1497195648 | Dr Zhu Eye Associates | Optometrist | 326 N Broadway, Vision Center Inside Walmart, Salem, NH 03079-2122 | 2013-07-02 |
| 1538429816 | Eyeglass Factory | Optometrist | 1885 25th St Se, Salem, OR 97302-1105 | 2012-05-21 |
| 1851607014 | Kendall Loraine Harer Mault | Optometrist | 116r Highland Ave Fl 2, Salem, MA 01970-2723 | 2010-08-26 |
| 1871738898 | Julie A. Mackall Od LLC | Optometrist | 2400 Southeast Blvd Ste A, Salem, OH 44460-3482 | 2008-12-04 |
| 1598915811 | Elizabeth Wolff | Optometrist | 400 N Broadway Ave, Salem, IL 62881-1514 | 2008-09-23 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.