Organization Active NPI

Envision Optical

  • Eyewear Supplier
  • Charleston, WV
National Provider Identifier
1073699815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WV4971OtherWVEYEMED

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.