Active NPI
To Healthy Eyes
- Eyewear Supplier
- South Charleston, WV
National Provider Identifier
1124234836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- WV0690-OD
- Legal business name
- TO HEALTHY EYES
- Doing business as
- eyecareOne
- Practice address
- 4008 Maccorkle Ave SW
South Charleston, WV 25309-1510 - Phone
- (304) 744-9533
- Fax
- (304) 744-2387
- NPI assigned
- May 16, 2007
- 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. Melvin Lee Mann, O.D.
- Title
- Owner
- Phone
- (304) 744-9533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | WV0690-OD | WV | Primary |
Addresses
Primary practice location
4008 Maccorkle Ave SW
South Charleston, WV 25309-1510
Mailing address
4008 Maccorkle Ave SW
South Charleston, WV 25309-1510
Phone (304) 744-9533
Other names 1
- eyecareOne
National Provider Directory
National Provider Directory- Tax ID family
- Eyecareone
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- South Charleston, WV
- NPI 1144350075
Locations
4008 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 400-4056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124234836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091510",
"telephone_number": "304-744-9533",
"fax_number": "304-744-2387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091510",
"telephone_number": "304-744-9533",
"fax_number": "304-744-2387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TO HEALTHY EYES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-744-9533",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "WV",
"license": "WV0690-OD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "eyecareOne",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South 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.