Active NPI
MGF Group Corp
- Ophthalmology Physician
- Madison, WV
National Provider Identifier
1003136524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MGF GROUP CORP
- Practice address
- 701 Madison Ave
Madison, WV 25130-1669 - Phone
- (888) 494-8882
- NPI assigned
- Jun 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary J Miller, MD
- Title
- President
- Phone
- (888) 494-8882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | WV | Primary |
Addresses
Primary practice location
701 Madison Ave
Madison, WV 25130-1669
Mailing address
3501 Maccorkle Ave SE Ste 104
Charleston, WV 25304-1419
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275868800000",
"number": "1003136524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 MACCORKLE AVE SE STE 104",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MADISON AVE",
"city": "MADISON",
"state": "WV",
"postal_code": "251301669",
"telephone_number": "888-494-8882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGF GROUP CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-494-8882",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.