DALE BLAKE LILLY (NPI# 1376557918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376557918 |
Entity Type | Individual |
Full Name | DALE BLAKE LILLY |
Credential | M.D. |
Practice Address |
2823 3rd Ave Huntington WV 25702-1423 |
Practice Telephone | 3045233937 |
Practice Fax Number | 3045233945 |
Mailing Telephone | 3045233937 |
Mailing Fax Number | 3045233945 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2013-04-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 17041 | WV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | WV STATE | 17041 | 01 |
WV | 0096101000 | 05 | |
OH | 0219534 | 05 |
Street Address |
2823 3RD AVE |
City | HUNTINGTON |
State | WV |
Zip Code | 25702-1423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053495820 | Lilly Eye Care, Inc. | Clinic/Center | 2823 3rd Ave, Huntington, WV 25702-1423 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629692306 | Jessica Nicole Hankins | Social Worker | 2769 Collins Avenue, Huntington, WV 25702 | 2020-05-29 |
1932750338 | Dasllastiene Cabell | Technician | 6188 Little 7 Mile Rd, Huntington, WV 25702 | 2019-09-26 |
1295386134 | Hope Vance | Technician | 2 Sam Collins Road, Huntington, WV 25702 | 2019-09-23 |
1649726373 | Erin Nicole Wingate | Emergency Medicine | 2828 1st Ave., Huntington, WV 25702 | 2016-09-01 |
1639545510 | Ready Set Relax LLC | Massage Therapist | 2411 3rd Avenue, Huntington, WV 25702 | 2015-08-14 |
1780709923 | M N Saleme Surgery Inc | Surgery | 2828 First Ave, Suite 205, Huntington, WV 25702 | 2007-03-20 |
1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
1578621678 | Andrea R Ferguson | Registered Nurse | 2860 3rd Ave Suite 10, Huntington, WV 25702 | 2006-12-04 |
1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
1790889905 | All Med LLC | Durable Medical Equipment & Medical Supplies | 410 Seventh Ave, Huntington, WV 25702 | 2006-09-08 |
Find all providers in zip 25702 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932471364 | Robert Lawrence Dunworth | Ophthalmology | 30 West Sixth Avenue, Suite 106, Huntington, WV 25701-1700 | 2012-02-01 |
1740375047 | Adam Harry Bloom | Ophthalmology | 1700 East Jericho Turnpike, Huntington, NY 11743 | 2006-10-03 |
1164539748 | Eye Care Inc | Ophthalmology | 1508 Sixth Ave, Huntington, WV 25701 | 2006-08-23 |
1801822242 | Tully Stephen Roisman | Ophthalmology | 1151 Hal Greer Blvd, Huntington, WV 25701-3705 | 2006-06-25 |
1760421556 | Joseph Anthony Locascio IIi | Ophthalmology | 5170 Us Route 60 East, Huntington, WV 25705 | 2006-06-06 |
1134198435 | James W. Gigantelli Jr. | Ophthalmology | 5187 Us Route 60 Ste 6, Huntington, WV 25705-2076 | 2006-03-17 |
1235106279 | Dina Christina Blom | Ophthalmology | 1508 6th Ave, Huntington, WV 25701-2902 | 2006-03-08 |
1578548178 | Charles David Francis | Ophthalmology | 5187 Us Route 60 E, Suite 6, Huntington, WV 25705-2076 | 2005-12-07 |
1265437263 | Craig Michael Morgan | Ophthalmology | 1611 13th Ave, Huntington, WV 25701-3811 | 2005-06-16 |
1609278985 | Zench Eye Care and Ophthalmology Pllc | Ophthalmology | 158 Main St, Huntington, NY 11743-6908 | 2014-09-18 |
Find all providers in HUNTINGTON |
City | HUNTINGTON |
Zip Code | 25702 |
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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.