Active NPI
Family Vision Care Inc
- Optometrist
- Fayetteville, WV
National Provider Identifier
1124340559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1042-OD
- Legal business name
- FAMILY VISION CARE INC
- Practice address
- 100 Fayette Town Ctr
Fayetteville, WV 25840-9539 - Phone
- (304) 574-3557
- NPI assigned
- Feb 26, 2010
- 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. William E Pugh III, OD
- Title
- Optometrist
- Phone
- (303) 640-4258
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1042-OD | WV | Primary |
Addresses
Primary practice location
100 Fayette Town Ctr
Fayetteville, WV 25840-9539
Mailing address
100 Fayette Town Ctr
Fayetteville, WV 25840-9539
Phone (304) 574-3557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810016948 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Town Center Rd
Fayetteville, WV 25840
Phone (304) 574-1283
2700 Mountaineer Blvd
South Charleston, WV 25309
Phone (304) 744-2261
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Summersville, WV
- NPI 1821289745
-
- Optometrist
- Oak Hill, WV
- NPI 1871945295
-
- Optometrist
- Oak Hill, WV
- NPI 1689363459
-
- Optometrist
- Charleston, WV
- NPI 1992131627
-
- Optometrist
- Saint Albans, WV
- NPI 1326335282
-
- Optometrist
- Princeton, WV
- NPI 1164530754
-
- Pharmacist
- Macarthur, WV
- NPI 1629679931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272153600000",
"number": "1124340559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FAYETTE TOWN CTR",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258409539",
"telephone_number": "304-574-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FAYETTE TOWN CTR",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258409539",
"telephone_number": "304-574-3557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY VISION CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-26",
"last_updated": "2010-04-25",
"status": "A",
"authorized_official_last_name": "PUGH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "303-640-4258",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WV",
"license": "1042-OD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810016948",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2010; 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.