Huntington Ophthalmology Professional Corp

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

21513 Issued in WV

Legal business name

HUNTINGTON OPHTHALMOLOGY PROFESSIONAL CORP

Practice address

1508 6TH Ave
Huntington, WV 25701-2902

Phone

(304) 522-8311

Fax

(304) 522-8313

NPI assigned

Jul 13, 2012

Last updated

Jul 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dina Christine Blom, MDNPI 1235106279

Title

President

Phone

(304) 522-8311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dina Christina Blom, M.D.

  • Ophthalmology Physician
  • Huntington, WV
  • NPI 1235106279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1093060253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012902",
            "telephone_number": "304-522-8311",
            "fax_number": "304-522-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012902",
            "telephone_number": "304-522-8311",
            "fax_number": "304-522-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON OPHTHALMOLOGY PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-522-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "21513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntington Hospitalist Group Inc
• Huntington Integrative Counseling & Wellness
• Huntington Medical Associates, Inc
• Huntington Mental Health Associates, Inc. (HBH Primary Care and Behavioral Health)
• Huntington Mental Health Associates, Inc. (Huntington Behavioral Health)
• Huntington Ophthalmology Professional Corporation
• Huntington Optical
• Huntington Pediatric Clinic Inc
• Huntington Physical Medicine, PLLC
• Huntington Physical Therapy Services Inc (HPT Physical Therapy Specialists)

• Ophthalmology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.