Active NPI
Envision Optical
- Eyewear Supplier
- Charleston, WV
National Provider Identifier
1073699815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- ENVISION OPTICAL
- Practice address
- 310 35TH St SE
Suite 11
Charleston, WV 25304-1352 - Phone
- (304) 720-3937
- Fax
- (304) 926-0958
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. R David Allara, MD
- Title
- Owner
- Phone
- (304) 720-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
310 35TH St SE
Suite 11
Charleston, WV 25304-1352
Mailing address
310 35TH St SE
Suite 11
Charleston, WV 25304-1352
Phone (304) 720-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WV4971 | Other | WV | EYEMED |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073699815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 35TH ST SE",
"address_2": "SUITE 11",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041352",
"telephone_number": "304-720-3937",
"fax_number": "304-926-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 35TH ST SE",
"address_2": "SUITE 11",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041352",
"telephone_number": "304-720-3937",
"fax_number": "304-926-0958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALLARA",
"authorized_official_first_name": "R",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-720-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "WV4971",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.