Active NPI
Precision Optical of Fairmont
- Eyewear Supplier
- Fairmont, WV
National Provider Identifier
1164586889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0449306000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryMember 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.
-
- Ophthalmology Physician
- Morgantown, WV
- NPI 1982777017
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.