Active NPI
Fick Eyecare, Inc
- Optometrist
- Fairmont, WV
National Provider Identifier
1053473827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FICK EYECARE, INC
- Practice address
- 32 Tygart Mall Rd
Inside Walmart
Fairmont, WV 26554 - Phone
- (304) 366-3425
- NPI assigned
- Dec 15, 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
- Jim M Fick, OD
- Title
- President
- Phone
- (304) 739-2698
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
32 Tygart Mall Rd
Inside Walmart
Fairmont, WV 26554
Mailing address
PO Box 5096
Whitehall Station
Fairmont, WV 26555-5096
Phone (304) 366-3425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
538 Emily Dr
Clarksburg, WV 26301
Phone (304) 566-7709
536 Emily Dr
#B
Clarksburg, WV 26301
Phone (304) 556-7709
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Clarksburg, WV
- NPI 1942386958
-
- Optometrist
- Clarksburg, WV
- NPI 1205199247
-
- Optometrist
- Fairmont, WV
- NPI 1578648572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053473827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5096",
"address_2": "WHITEHALL STATION",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265555096",
"telephone_number": "304-366-3425",
"fax_number": "304-366-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 TYGART MALL RD",
"address_2": "INSIDE WALMART",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-366-3425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FICK EYECARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FICK",
"authorized_official_first_name": "JIM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-739-2698",
"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": []
}
Other providers in Fairmont, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.