Organization Active NPI

Med Surg Eye Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Beckley, WV
National Provider Identifier
1134543457
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED SURG EYE CARE INC
Practice address
22 Mallard CT
Beckley, WV 25801-3615
Phone
(304) 252-4216
Fax
(304) 253-6809
NPI assigned
Feb 6, 2014
Last updated
Nov 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Taoufik A Sadat, M.D.NPI 1437241346
Title
President
Phone
(304) 252-4216

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Optometrist 152W00000X NU
Optician 156FX1800X NU
Ophthalmology Physician 207W00000X 20564 WV

Addresses

Primary practice location

22 Mallard CT
Beckley, WV 25801-3615

Mailing address

PO Box 172
Stanaford, WV 25927-0172
Phone (304) 252-4216

Other identifiers 4

IdentifierTypeStateIssuer
1437241346OtherWVNPI
7169950001OtherWVDMERC, PTAN
1841345000MedicaidWV
SA4049742OtherWVMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140409001584 WV Part B Supplier - Clinic/Group Practice 8628200417 Receives reassigned benefits from 1 practitioner
Practice locations: Beckley, WV; Hinton, WV
O20140624002551 WV DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 8628200417 Practice locations: Beckley, WV

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Med Surg Eye Care, Inc.22 Mallard CT, Beckley, WV 25801-3615(304) 252-4216 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Jan 12, 2014

National Provider Directory

National Provider Directory
Tax ID family
Med Surg Eye Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22 Mallard Ct
Beckley, WV 25801
Phone (304) 252-4216

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1134543457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "STANAFORD",
            "state": "WV",
            "postal_code": "259270172",
            "telephone_number": "304-252-4216",
            "fax_number": "304-253-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013615",
            "telephone_number": "304-252-4216",
            "fax_number": "304-253-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SURG EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "SADAT",
        "authorized_official_first_name": "TAOUFIK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-252-4216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "20564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437241346",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC, PTAN",
            "identifier": "7169950001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841345000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "SA4049742",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.