DALE BLAKE LILLY


Address: 2823 3rd Ave, Huntington, WV 25702-1423
Phone: 3045233937

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 17041 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV WV STATE 17041 01
WV 0096101000 05
OH 0219534 05

Office Location

Street Address 2823 3RD AVE
City HUNTINGTON
State WV
Zip Code 25702-1423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053495820 Lilly Eye Care, Inc. Clinic/Center 2823 3rd Ave, Huntington, WV 25702-1423 2006-10-25

Providers in the same zip code

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 Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City HUNTINGTON
Zip Code 25702

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Dataset Information

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.

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