Active NPI
Rory Wayne Simpson, O.D.
- Optometrist
- Morgantown, WV
National Provider Identifier
1144359159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 994-D
- Practice address
- 9601 Mall Rd
Morgantown, WV 26501-8540 - Phone
- (304) 983-6699
- Fax
- (304) 983-6681
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 994-D | WV | Primary |
Addresses
Primary practice location
9601 Mall Rd
Morgantown, WV 26501-8540
Mailing address
111 Sadie LN
Morgantown, WV 26508-1165
Phone (304) 692-2617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110803000598 | WV | Practitioner - Optometry | 7618146986 | Practice locations: Masontown, WV; Morgantown, WV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berardi Eyecare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Morgantown, WV
- NPI 1245667054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1144359159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SADIE LN",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081165",
"telephone_number": "304-692-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 MALL RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265018540",
"telephone_number": "304-983-6699",
"fax_number": "304-983-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "RORY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "994-D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.