Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639458276 Individual Practitioner Female Practitioner

Dr. Elizabeth Noel Distefano , OD

Optometrist • Wayne, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Distefano, OD is a certified Optometrist practicing in Wayne, WV. With approximately 15 years of clinical experience since graduating from Indiana University - School Of Optometry in 2011, Dr. Distefano delivers high-quality medical care to the local community at 42 MCGINNIS DR.

Dr. Distefano is affiliated with Valley Health Systems, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

42 Mcginnis Dr

Wayne, WV 255709553

Telephone 3042725136
Fax 3042726261
Associated Practice Facility / Clinic
🏢 Valley Health Systems, Inc Facility NPI 1528038577

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Wayne, WV

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs Matches City Avg
City Avg: 15.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Wayne, 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

Clinical Seniority & Experience Comparison

Dr. Distefano (15 Years) 15 Yrs
Wayne Specialty Average (15.0 Years) 15.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-28
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WV 2045-IOD

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License VA 0618002273

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.

Hospital & Practice Group Affiliations

Valley Health Systems, Inc

1 Harbour Way, Milton, WV 255411545

Phone: 3047813600

Secondary Practice Locations

145 Holt Garrison Pkwy

Danville, VA 245405958

Phone: 4344832199

85 Donohoe Dr

Huntington, WV 257058887

Phone: 3043993310

Practice Associates & Co-Workers

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

7 Associated Practitioners
Jordan Adkins , APRN-CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124424759

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Michael Goldman , LCSW, LPC

Counselor - Professional

NPI 1326009523

Licensed Clinical Social Worker, Licensed Professional Counselor

Alexandra Collins , MSN, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1518605765

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Kevin Stephens , DMD

Dentist - General Practice

NPI 1588702666

Doctor of Dental Medicine

Lisa Smith , APRN

Nurse Practitioner - Family

NPI 1609258789

Advanced Practice Registered Nurse

Dr. Deep Gohel , DMD

Dentist - General Practice

NPI 1629713003

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2024

Optometrist (License #0618002273 in VA)

📍
Updated Practice Location November 13, 2020

Registered at 42 MCGINNIS DR, WAYNE, WV 255709553 (Tel: 3042725136)

📍
Updated Business Mailing Address November 13, 2020

Registered at 2585 3RD AVE, HUNTINGTON, WV 257031642 (Tel: 3046971396)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2020

Optometrist (License #2045-IOD in WV)

NPI Profile Active September 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2014

Registered at 145 HOLT GARRISON PKWY, DANVILLE, VA 245405958 (Tel: 4344832199)

📍
Updated Business Mailing Address September 11, 2014

Registered at 145 HOLT GARRISON PKWY, DANVILLE, VA 245405958 (Tel: 4344832199)

👤
Provider Name / Credentials Updated September 11, 2014

Recorded as ELIZABETH DISTEFANO, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2014

Optometrist (License #0618002273 in VA)

🟢
Initial NPI Registration & Enumeration August 14, 2011

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: 1639458276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2011
Last Update: May 28, 2024
Sole Proprietor: No

Mailing Address

2585 3rd Ave

Huntington, WV 257031642

Phone: 3046971396

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.