Organization Active NPI

Tri-State Eye Care Center, LTD.

  • Optometrist
  • Huntington, WV
National Provider Identifier
1003000217
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TRI-STATE EYE CARE CENTER, LTD.
Practice address
919 5TH Ave Ste 100
Huntington, WV 25701-2003
Phone
(304) 523-4819
Fax
(304) 525-5551
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William L Ratcliff, ODNPI 1962528539
Title
Owner
Phone
(304) 523-4819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

919 5TH Ave Ste 100
Huntington, WV 25701-2003

Mailing address

919 5TH Ave Ste 100
Huntington, WV 25701-2003
Phone (304) 523-4819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000650 WV Part B Supplier - Clinic/Group Practice 1850556655 Receives reassigned benefits from 2 practitioners
Practice locations: Huntington, WV

National Provider Directory

National Provider Directory

Locations

919 5th Ave
Huntington, WV 25701
Phone (304) 523-4819

919 5th Ave
Ste 100
Huntington, WV 25701
Phone (304) 523-4819

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1003000217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 5TH AVE STE 100",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012003",
            "telephone_number": "304-523-4819",
            "fax_number": "304-525-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 5TH AVE STE 100",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012003",
            "telephone_number": "304-523-4819",
            "fax_number": "304-525-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE EYE CARE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "RATCLIFF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-523-4819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.