Rebecca St Jean OD Inc
NPI 1053586008 · Optometrist · South Charleston, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rebecca St Jean OD Inc is a Optometrist organization in South Charleston, WV (NPI 1053586008).
Provider details
- NPI number
- 1053586008
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Rebecca St. Jean, Owner(304) 766-2220
- License
- 989-OD (WV)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Eye Care Center
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2012-11-05
Frequently asked questions
- What is Rebecca St Jean OD Inc's NPI number?
- Rebecca St Jean OD Inc's National Provider Identifier (NPI) is 1053586008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rebecca St Jean OD Inc?
- Rebecca St Jean OD Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Rebecca St Jean OD Inc located?
- Rebecca St Jean OD Inc's practice location on file with NPPES is 4030 Maccorkle Ave Sw, South Charleston, WV 25309-1510.
- What is Rebecca St Jean OD Inc's phone number?
- The practice phone number listed in the NPPES registry for Rebecca St Jean OD Inc is (304) 766-2220.
- Does Rebecca St Jean OD Inc accept Medicare?
- Rebecca St Jean OD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rebecca St Jean OD Inc?
- The authorized official listed on Rebecca St Jean OD Inc's NPPES record is Rebecca St. Jean, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rebecca St Jean OD Inc's NPI active?
- Yes — Rebecca St Jean OD Inc's NPI (1053586008) is active in the NPPES registry as of the last update on 2012-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.