Organization Active NPI

Precision Optical of Fairmont

  • Eyewear Supplier
  • Fairmont, WV
National Provider Identifier
1164586889
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PRECISION OPTICAL OF FAIRMONT
Practice address
1 Physicians PLZ
Fairmont, WV 26554-1470
Phone
(304) 366-7947
Fax
(304) 366-7950
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Barbara Sharps, OD
Title
General Partner
Phone
(304) 598-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1 Physicians PLZ
Fairmont, WV 26554-1470

Mailing address

1255 Pineview Dr
Morgantown, WV 26505-2713
Phone (304) 598-3301

Other identifiers 1

IdentifierTypeStateIssuer
0449306000MedicaidWV

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1164586889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052713",
            "telephone_number": "304-598-3301",
            "fax_number": "304-599-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PHYSICIANS PLZ",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541470",
            "telephone_number": "304-366-7947",
            "fax_number": "304-366-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION OPTICAL OF FAIRMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SHARPS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "304-598-3301",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449306000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.