Active NPI
Ohio Valley Eye Physicians & Surgeons PLLC
- Ophthalmology Physician
- Marietta, OH
National Provider Identifier
1023048154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OHIO VALLEY EYE PHYSICIANS & SURGEONS PLLC
- Practice address
- 1204 Greene Street
Marietta, OH 45750 - Phone
- (304) 428-3500
- Fax
- (304) 422-7900
- NPI assigned
- Jul 4, 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
- Dr. David Spencer George, MD
- Title
- Physician 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1204 Greene Street
Marietta, OH 45750
Mailing address
418 Grand Park Drive
Suite 315
Parkersburg, WV 26105-4000
Phone (304) 428-3500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2797791 | Medicaid | OH | |
| CL8196 | Other | RAILROAD MEDICARE | |
| DB9946 | Other | RAILROAD MEDICARE | |
| 000449568 | Other | MOUNTAIN STATE BLUE CROSS | |
| 0008970-000 | Medicaid | WV | |
| CL8195 | Other | RAILROAD MEDICARE |
Other names 1
- The Eye MDs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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.
-
- Specialist
- Parkersburg, WV
- NPI 1003842790
O20050902000037
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2069213 | Ohio Valley Eye Physicians & Surgeons | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Ohio Valley Eye Phys Surgeon
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Parkersburg, WV
- NPI 1003842790
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Belpre, OH
- NPI 1700828480
-
- Certified Registered Nurse Anesthetist
- Marietta, OH
- NPI 1811504780
-
- Certified Registered Nurse Anesthetist
- Marietta, OH
- NPI 1811280589
-
- Retina Specialist (Ophthalmology) Physician
- Charleston, WV
- NPI 1639411887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1023048154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 GRAND PARK DRIVE",
"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": "1204 GREENE STREET",
"city": "MARIETTA",
"state": "OH",
"postal_code": "45750",
"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": "2006-07-04",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "SPENCER",
"authorized_official_title_or_position": "PHYSICIAN PARTNER",
"authorized_official_telephone_number": "304-428-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2797791",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CL8196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB9946",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BLUE CROSS",
"identifier": "000449568",
"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
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Eye MDs",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.