Organization Active NPI

Elkins Optical Center Inc

  • Eyewear Supplier
  • Elkins, WV
National Provider Identifier
1003977935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2007003214 Issued in WV
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0151895000MedicaidWV
1341393OtherWVUMWA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.