Provider Demographics
NPI:1073623831
Name:FRENCH, ALAN L (OD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:L
Last Name:FRENCH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 852
Mailing Address - Street 2:
Mailing Address - City:ELEANOR
Mailing Address - State:WV
Mailing Address - Zip Code:25070-0852
Mailing Address - Country:US
Mailing Address - Phone:304-586-0970
Mailing Address - Fax:304-586-3744
Practice Address - Street 1:103 ROOSEVELT BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:ELEANOR
Practice Address - State:WV
Practice Address - Zip Code:25070-4000
Practice Address - Country:US
Practice Address - Phone:304-586-0970
Practice Address - Fax:304-586-3744
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV956-OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9200009001Medicaid
WV0845271Medicare ID - Type Unspecified
WV9200009001Medicaid