Optometrist
ELIZABETH DISTEFANO OD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639458276 · enumerated 2011-08-14 · record updated 2024-05-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: ELIZABETH RANDOLPH
Addresses and phones
- Practice location 42 MCGINNIS DR, WAYNE, WV, 25570-9553 (304) 272-5136 Fax (304) 272-6261 Google Maps Apple Maps OpenStreetMap
- Mailing address 2585 3RD AVE, HUNTINGTON, WV, 25703-1642 (304) 697-1396 Fax (304) 697-2086 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · License 0618002273 VA
- Optometrist 152W00000X · Primary · License 2045-IOD WV
In this directory
Locations and evidence
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Practice location
WAYNE, WV, 255709553
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.