Provider Demographics
NPI:1669569182
Name:CHANEY EYE CARE PLLC
Entity type:Organization
Organization Name:CHANEY EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHANEY-SAYRE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-369-0632
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WV
Mailing Address - Zip Code:25130-0086
Mailing Address - Country:US
Mailing Address - Phone:304-369-0632
Mailing Address - Fax:304-369-0633
Practice Address - Street 1:300 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-1511
Practice Address - Country:US
Practice Address - Phone:304-369-0632
Practice Address - Fax:304-369-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV864OD152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001710426OtherBLUE CROSS BLUE SHIELD
CK5606OtherRAILROAD MEDICARE
WV310005220Medicaid
WV0506510002Medicare NSC
WV310005220Medicaid