NPIMap

Organization Active NPI

Looney Enterprises LLC

Doing business as looney eye care

  • Optometrist
  • Welch, WV
National Provider Identifier
1073656641
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1011 OD Issued in WV
Legal business name
LOONEY ENTERPRISES LLC
Doing business as
looney eye care
Practice address
794 Virginia Ave.
Welch, WV 24801
Phone
(304) 436-8435
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Brian D Looney, OD
Title
Owner
Phone
(304) 436-8435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1011 OD WV Primary

Addresses

Primary practice location

794 Virginia Ave.
Welch, WV 24801

Mailing address

PO Box 607
Welch, WV 24801-0607
Phone (304) 436-8435

Other identifiers 1

IdentifierTypeStateIssuer
3810006821MedicaidWV

Other names 1

  • looney eye care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1073656641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248010607",
            "telephone_number": "304-436-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 VIRGINIA AVE.",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "24801",
            "telephone_number": "304-436-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOONEY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "LOONEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-436-8435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1011 OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006821",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "looney eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Welch, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.