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ADVANCED EYE CARE CENTER
NPI 1053586008
Optometrist in South Charleston, WV

Active since April 29, 2008
4030 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-2220(304) 766-0824 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Eye Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED EYE CARE CENTER (NPI 1053586008) is a healthcare organization registered as an optometrist in South Charleston, West Virginia and active in the NPI registry since April 2008. The organization lists Rebecca V St. Jean, Owner, as its authorized official.

NPPES Registry Identity

NPI1053586008
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameREBECCA ST JEAN OD INC
Location Address4030 MACCORKLE AVE SWSouth Charleston, WV 25309-1510
Mailing Address4030 Maccorkle Ave SwSouth Charleston, WV 25309-1510 · (304) 766-2220 · Fax (304) 766-0824
Phone(304) 766-2220
Fax(304) 766-0824
Organization SubpartNo
Authorized OfficialRebecca V St. JeanOwner · (304) 766-2220
Enumeration DateApril 29, 2008
Last NPPES UpdateNovember 5, 2012
✔ NPI 1053586008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WV · 989-OD
Definition
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.
4030 MACCORKLE AVE SW, South Charleston, WV 25309
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Other Names 1

Doing Business AsAdvanced Eye Care Center

Other Identifiers 1

Medicare PINSP00611WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Eye Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Eye Care Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Rebecca St Jean, OD
Optometry
NPI 1215922174
4030 MACCORKLE AVE SW
South Charleston, WV 25309
(304) 766-2220
✔ PECOS0.1 mi
Elicia Miller, O.D.
Optometry
NPI 1144410176
4030 MACCORKLE AVE SW
South Charleston, WV 25309
(304) 766-2220
✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca St Jean Od Inc's NPI number?

The NPI number for Rebecca St Jean Od Inc is 1053586008. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Advanced Eye Care Center.

Where is Rebecca St Jean Od Inc located?

Rebecca St Jean Od Inc is located at 4030 Maccorkle Ave SW, South Charleston, WV 25309. The listed phone number is (304) 766-2220.

What is Rebecca St Jean Od Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Rebecca St Jean Od Inc enrolled in Medicare?

Yes. Rebecca St Jean Od Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rebecca St Jean Od Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Rebecca St Jean Od Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rebecca St Jean Od Inc accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Highmark Blue Cross Blue Shield West Virginia list Rebecca St Jean Od Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca St Jean Od Inc was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.