Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 634-OD | WV |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 634-OD | WV |
N | 152WP0200X | Pediatric Optomitrist | 634-OD | WV |
N | 152WS0006X | Sports Vision | 634-OD | WV |
N | 152WV0400X | Optomitrist - Vision Therapist | 634-OD | WV |
NPI | 1104902428 |
---|---|
Provider Name | Dr. Arabel E Hatfield |
First Address | Logan, WV 25601-3753 |
Second Address | Logan, WV 25601-3753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2006 |
Last Update Date | 30/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0149552000 | (05) | WV |
T32551 | (02) |