Organization Active NPI

Eye Care Associates of Woodsfield, LLC

  • Optometrist
  • Woodsfield, OH
National Provider Identifier
1205115177
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH5556 Issued in OH
Legal business name
EYE CARE ASSOCIATES OF WOODSFIELD, LLC
Practice address
232 S Main St
Woodsfield, OH 43793-1025
Phone
(740) 472-0013
NPI assigned
Aug 10, 2011
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Matthew R Ingram
Title
Owner/Optometrist
Phone
(740) 472-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH5556 OH Primary

Addresses

Primary practice location

232 S Main St
Woodsfield, OH 43793-1025

Mailing address

232 S Main St
Woodsfield, OH 43793-1025
Phone (740) 472-0013

National Provider Directory

National Provider Directory

Locations

232 S Main St
Woodsfield, OH 43793
Phone (740) 472-0013

Practitioners & affiliated clinicians

Practitioners 1

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": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1205115177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S MAIN ST",
            "city": "WOODSFIELD",
            "state": "OH",
            "postal_code": "437931025",
            "telephone_number": "740-472-0013",
            "fax_number": "740-472-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S MAIN ST",
            "city": "WOODSFIELD",
            "state": "OH",
            "postal_code": "437931025",
            "telephone_number": "740-472-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF WOODSFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "740-472-0013"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH5556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.