Rebuck & Associates Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REBUCK & ASSOCIATES EYE CARE PLLC

Practice address

801 N Mildred St
Unit 1B
Ranson, WV 25438-1690

Phone

(304) 263-4747

Fax

(304) 263-4747

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard Carl Rebuck, O.D.NPI 1174614689

Title

Owner/Member

Phone

(304) 263-4747

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.

• Richard Carl Rebuck, OD

  • Optometrist
  • Ranson, WV
  • NPI 1174614689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1053608356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 APPALOOSA DR",
            "city": "FALLING WATERS",
            "state": "WV",
            "postal_code": "254193854",
            "telephone_number": "304-263-4747",
            "fax_number": "304-263-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MILDRED ST",
            "address_2": "UNIT 1B",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381690",
            "telephone_number": "304-263-4747",
            "fax_number": "304-263-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUCK & ASSOCIATES EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "REBUCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "304-263-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Price
• Professional Sportscare & Rehab of West Virginia, LLC
• Heather Marie Puller
• Qler Solutions LLC
• Ranson Optical Center
• Richard Carl Rebuck, OD
• Caitlyn Hannah Regalia, CPHT
• Carrie Renee Riston
• Robert Jones MD
• Paula Petrullo Russo, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.