Provider Demographics
NPI:1770520439
Name:SKEENS, HEATHER MICHELLE (MD)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:MICHELLE
Last Name:SKEENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 TECHNOLOGY DR
Mailing Address - Street 2:WEST VIRGINIA CORNEA & CATARACT CENTER OF EXCELLENCE
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-8510
Mailing Address - Country:US
Mailing Address - Phone:304-721-4003
Mailing Address - Fax:304-746-2996
Practice Address - Street 1:300 TECHNOLOGY DR
Practice Address - Street 2:WEST VIRGINIA CORNEA & CATARACT CENTER OF EXCELLENCE
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-8510
Practice Address - Country:US
Practice Address - Phone:304-721-4003
Practice Address - Fax:304-746-2996
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV22103207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810009067Medicaid
WV2655040OtherHIGHMARK BCBS WV
WVA727OtherWV MEDICARE GROUP-WV EYE CONSULTANTS, LLC
WV1065168OtherCOVENTRY HEALTHCARE
WV1770520439OtherVISION SERVICE PLAN
WV3810021966OtherWV MEDICAID GROUP -WV EYE CONSULTANTS, LLC
WV1770520439OtherHUMANA
WV1770520439OtherHEALTHSMART PEIA
WV1770520439OtherTRICARE -NON NETWORK PROVIDER
WV4092531OtherCIGNA
WV7014818OtherAETNA
WV3810009067Medicaid
WVWV2559A727Medicare PIN