Fairmont Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAIRMONT EYE CARE INC

Practice address

709 Morgantown Ave
Fairmont, WV 26554

Phone

(304) 366-4721

Fax

(304) 366-4847

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip Marc Wilmoth, ODNPI 1427011360

Title

President Doctor

Phone

(304) 366-4721

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Marc Wilmoth, OD

  • Optometrist
  • Fairmont, WV
  • NPI 1427011360
  Medicare reassignment Care Compare group NPD Authorized official
• Martin Wayne Carpenter, O.D.

  • Optometrist
  • Fairmont, WV
  • NPI 1417956210
  Medicare reassignment Care Compare group NPD
• Hailey Long, OD

  • Optometrist
  • Dawson, GA
  • NPI 1407623424

  WV

  Medicare reassignment Care Compare group NPD
• Jenna Louise Gongola, OD

  • Optometrist
  • Elkins, WV
  • NPI 1194810242
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1104889971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544331",
            "telephone_number": "304-366-4721",
            "fax_number": "304-366-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-366-4721",
            "fax_number": "304-366-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "WILMOTH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT DOCTOR",
        "authorized_official_telephone_number": "304-366-4721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015096400",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM3317",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Everson
• Excel Diabetic & Medical Company Equipment
• Eye Candy Beauty Supply
• Abbey Danielle Eye, COTA/L
• Fairmont ENT Associates Inc
• Fairmont Foot Center
• Fairmont Foot Center
• Fairmont General Hospital
• Fairmont General Hospital - Uha
• Fairmont General Hospital, Inc.

• Optometrist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.