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Deactivated NPI 1063491983 Deactivated / Inactive NPI Male Practitioner

Everett S Coffman

Optometrist • Nitro, WV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Everett Coffman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 10, 2006
NPI Deactivation Date October 19, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Everett Coffman was a registered Optometrist practicing in Nitro, WV. Throughout an active medical career spanning 16 years, Everett Coffman provided care at the practice location at 1901 19TH ST until profile deactivation on 2022-10-19.

Practice Location & Contact Primary Location

Practice Address

1901 19th St

Nitro, WV 251431751

Telephone 3047554341
Fax 3047550087
Associated Practice Facility / Clinic
🏢 Taylor Eye Associates Pllc Facility NPI 1477708972

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Nitro, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Nitro, WV (286 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WV 570D

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Elizabeth Stiltner , LMT

Massage Therapist

NPI 1346551553

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 19, 2022

Record deactivated on October 19, 2022

NPI Profile Active March 31, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2008

Registered at 1901 19TH ST, NITRO, WV 251431751 (Tel: 3047554341)

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Updated Business Mailing Address March 31, 2008

Registered at PO BOX 474, NITRO, WV 251430474 (Tel: 3047554341)

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Provider Name / Credentials Updated March 31, 2008

Recorded as EVERETT COFFMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2008

Optometrist (License #570D in WV)

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Initial NPI Registration & Enumeration January 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063491983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2006
Last Update: March 31, 2008
Deactivation Date: October 19, 2022

Mailing Address

Po Box 474

Nitro, WV 251430474

Phone: 3047554341

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.