Organization Active NPI

Ohio Valley Eye Physicians & Surgeons PLLC

  • Specialist
  • Parkersburg, WV
National Provider Identifier
1003842790
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OHIO VALLEY EYE PHYSICIANS & SURGEONS PLLC
Practice address
418 Grand Park Dr
Suite 315
Parkersburg, WV 26105-4000
Phone
(304) 428-3500
Fax
(304) 422-7900
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
David Spencer George, MDNPI 1619945755
Title
Partner
Phone
(304) 428-3500

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

418 Grand Park Dr
Suite 315
Parkersburg, WV 26105-4000

Mailing address

418 Grand Park Dr
Suite 315
Parkersburg, WV 26105-4000
Phone (304) 428-3500

Other identifiers 4

IdentifierTypeStateIssuer
00449568OtherMOUNTAIN STATE BLUE CROSS
0008970-000MedicaidWV
CL8195OtherRAILROAD MEDICARE
2797773MedicaidOH

Other names 2

  • Ohio Valley Eye Physicians & Surgeons, PLLC Doing business as
  • The Eye MDs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050902000037 OH Part B Supplier - Clinic/Group Practice 2668404385 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belpre, OH; Marietta, OH
O20050902000059 WV Part B Supplier - Clinic/Group Practice 2668404385 Receives reassigned benefits from 4 practitioners
Practice locations: Parkersburg, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2056072Eye MDS, the418 Grand Park Drive Suite 315, Parkersburg, WV 26105Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ohio Valley Eye Phys Surgeon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

224 Columbus Rd
Ste 101
Athens, OH 45701
Phone (740) 592-6724

476 Pike St
Marietta, OH 45750
Phone (740) 374-5575

1204 Greene St
Marietta, OH 45750
Phone (304) 428-3500

418 Grand Park Dr
Ste 315
Parkersburg, WV 26105
Phone (304) 428-3500

Interoperability endpoints

  • Direct secure messaging: drichardson@tem.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 7

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1003842790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 GRAND PARK DR",
            "address_2": "SUITE 315",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054000",
            "telephone_number": "304-428-3500",
            "fax_number": "304-422-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 GRAND PARK DR",
            "address_2": "SUITE 315",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054000",
            "telephone_number": "304-428-3500",
            "fax_number": "304-422-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY EYE PHYSICIANS & SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-428-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE CROSS",
            "identifier": "00449568",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008970-000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL8195",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2797773",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Valley Eye Physicians & Surgeons, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye MDs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.