Eye Clinic of West Jefferson, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5388 Issued in OH

Legal business name

EYE CLINIC OF WEST JEFFERSON, LLC

Practice address

94 W Main St
West Jefferson, OH 43162-1229

Phone

(614) 879-7239

Fax

(614) 879-1001

NPI assigned

Feb 28, 2007

Last updated

May 6, 2024By 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. Scott A Furgerson, O.D.NPI 1346298270

Title

Owner

Phone

(614) 879-7239

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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.

• Scott A Furgerson, O.D.

  • Optometrist
  • West Jefferson, OH
  • NPI 1346298270
  Medicare reassignment NPD Authorized official
• Mary Catherine Furgerson, O.D.

  • Optometrist
  • West Jefferson, OH
  • NPI 1902123102
  Medicare reassignment

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1114055530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621229",
            "telephone_number": "614-879-7239",
            "fax_number": "614-879-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621229",
            "telephone_number": "614-879-7239",
            "fax_number": "614-879-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CLINIC OF WEST JEFFERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "FURGERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-879-7239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2436322",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD9476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Duch
• Kristyn Nicole Elliott, OTD,OTR/L
• Enhancing Minds Mental Health Solutions LLC
• Enhancing Minds Mental Health Solutions LLC
• Extendicare
• Christina Fay
• Lori S Feddern, LMT
• Kristy Fleagane, DC
• Chrystal Lynn Fooce, LPN
• Kristen M Forrest

• Optometrist in West Jefferson, OH
• Providers in West Jefferson, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.