NPIMap

Organization Active NPI

Robert L & Cheryl R Joseph Dba Professional Optical Center

Doing business as Professional Optical Center

  • Durable Medical Equipment & Medical Supplies
  • Wheeling, WV
National Provider Identifier
1053499467
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9134 Issued in WV
Legal business name
ROBERT L & CHERYL R JOSEPH DBA PROFESSIONAL OPTICAL CENTER
Doing business as
Professional Optical Center
Practice address
1300 Market St
Wheeling, WV 26003
Phone
(304) 232-6911
Fax
(304) 232-6911
NPI assigned
Nov 2, 2006
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Robert L JosephNPI 1982710786
Title
Owner
Phone
(304) 232-8440

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9134 WV Primary

Addresses

Primary practice location

1300 Market St
Wheeling, WV 26003

Mailing address

1300 Market Street
Wheeling, WV 26003
Phone (304) 232-6911

Other identifiers 2

IdentifierTypeStateIssuer
0095927000OtherWVMEDICADE
0450631MedicaidOH

Other names 1

  • PROFESSIONAL OPTICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1300 Market St
Wheeling, WV 26003
Phone (304) 232-6911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1053499467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MARKET STREET",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-232-6911",
            "fax_number": "304-232-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MARKET ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-232-6911",
            "fax_number": "304-232-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L & CHERYL R JOSEPH DBA PROFESSIONAL OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-232-8440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "9134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICADE",
            "identifier": "0095927000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL OPTICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.