Individual provider Active NPI

Alan L French, OD

  • Optometrist
  • Eleanor, WV
National Provider Identifier
1073623831
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
956-OD Issued in WV
Practice address
103 Roosevelt Blvd
Suite E
Eleanor, WV 25070-4000
Phone
(304) 586-0970
Fax
(304) 586-3744
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 956-OD WV Primary

Addresses

Primary practice location

103 Roosevelt Blvd
Suite E
Eleanor, WV 25070-4000

Mailing address

PO Box 852
Eleanor, WV 25070-0852
Phone (304) 586-0970

Other identifiers 1

IdentifierTypeStateIssuer
9200009001MedicaidWV

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091006000410 WV Practitioner - Optometry 0244376291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

127 Jamie LN
Eleanor, WV 25070-1397
Phone (304) 586-0970

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
956-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen P Cassis MD Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1073623831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "ELEANOR",
            "state": "WV",
            "postal_code": "250700852",
            "telephone_number": "304-586-0970",
            "fax_number": "304-586-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROOSEVELT BLVD",
            "address_2": "SUITE E",
            "city": "ELEANOR",
            "state": "WV",
            "postal_code": "250704000",
            "telephone_number": "304-586-0970",
            "fax_number": "304-586-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENCH",
        "first_name": "ALAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "956-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9200009001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eleanor, WV

Sources for this page

Verify at the official NPI Registry.