Joseph Winfred Myers, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

567D Issued in WV

Practice address

511 5TH St
Myers Eye Clinic
Moundsville, WV 26041

Phone

(304) 845-1560

Fax

(304) 845-6381

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063491082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 5TH ST",
            "address_2": "MYERS EYE CLINIC",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "26041",
            "telephone_number": "304-845-1560",
            "fax_number": "304-845-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 5TH ST",
            "address_2": "MYERS EYE CLINIC",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "26041",
            "telephone_number": "304-845-1560",
            "fax_number": "304-845-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JOSEPH",
        "middle_name": "WINFRED",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "567D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "567",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150358000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlottie Mull
• Donna Ann Mullins
• Melanie Murdock
• Sherie A Myer
• James Gary Myers, RPH
• Peter Joseph Mysliwiec III, RPH
• Cindy L Nedley
• Breanna Marie Neff
• Doris A Neff
• Samantha Jo Nelson

• Optometrist in Moundsville, WV
• Providers in Moundsville, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.