Cheat Lake Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHEAT LAKE EYE CARE

Practice address

700 Fort Pierpont Dr Ste 106
Morgantown, WV 26508-1389

Phone

(304) 202-1624

Fax

(304) 202-1880

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Hallina Portner, ODNPI 1972026862

Title

Dr./Owner

Phone

(304) 288-2325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hallina Nicole Portner, OD

  • Optometrist
  • Bridgeport, WV
  • NPI 1972026862
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1043087133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FORT PIERPONT DR STE 106",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081389",
            "telephone_number": "304-202-1624",
            "fax_number": "304-202-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FORT PIERPONT DR STE 106",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081389",
            "telephone_number": "304-202-1624",
            "fax_number": "304-202-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEAT LAKE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "PORTNER",
        "authorized_official_first_name": "HALLINA",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "304-288-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parag Narendra Chaudhari, M.B.B.S.
• Haider S Chaudhry, MD
• Kallol Chaudhuri, M.D.
• Nishtha Chauhan
• Alejandro Chavez, MD
• Cheat Lake Family Dentistry
• Cheat Lake Urgent Care PLLC
• Cheat Road Project Associates LLC
• Connie Chen, MD
• Lena Chen, MD

• Optometrist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.