Active NPI
Elkins Optical Center Inc
- Eyewear Supplier
- Elkins, WV
National Provider Identifier
1003977935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 2007003214
- Legal business name
- ELKINS OPTICAL CENTER INC
- Practice address
- 635 Robert E Lee Ave
Elkins, WV 26241 - Phone
- (304) 636-8510
- NPI assigned
- Dec 13, 2006
- 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
- Mrs. Brenda Lea Ramsey, COT
- Title
- Pres Owner Optician
- Phone
- (304) 636-8510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 2007003214 | WV | Primary |
Addresses
Primary practice location
635 Robert E Lee Ave
Elkins, WV 26241
Mailing address
PO Box 2569
635 Robt E Lee Ave
Elkins, WV 26241
Phone (304) 636-8510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0151895000 | Medicaid | WV | |
| 1341393 | Other | WV | UMWA |
National Provider Directory
National Provider DirectoryLocations
635 Robert E Lee Ave
Elkins, WV 26241
Phone (304) 636-4021
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Elkins, WV
- NPI 1831169812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003977935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2569",
"address_2": "635 ROBT E LEE AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "26241",
"telephone_number": "304-636-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 ROBERT E LEE AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "26241",
"telephone_number": "304-636-8510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELKINS OPTICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAMSEY",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "LEA",
"authorized_official_title_or_position": "PRES OWNER OPTICIAN",
"authorized_official_telephone_number": "304-636-8510",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "COT"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "WV",
"license": "2007003214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0151895000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1341393",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkins, WV
- Lorraine L Eisenhour
- Holly Adele Elbon
- Robert R Elbon Jr.
- Diane Marie Elder
- Elkins Center for Counseling and Development
- Elkins Physical Therapy Service, Inc.
- Elkins Psychological Testing PLLC
- Elkins Regional Convalescent Center
- Elkins Regional Convalescent Center
- Elkins Regional Convalescent Center Inc. Dba Elkins Rehab and Care Ctr
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.