Individual provider Active NPI

Tonya Marie Smith Umbel, OD

  • Optometrist
  • Clarksburg, WV
National Provider Identifier
1205199247
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2000-IOD Issued in WV
Practice address
536 Emily Dr Ste B
Clarksburg, WV 26301-5507
Phone
(304) 566-7709
Fax
(304) 715-2070
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2000-IOD WV Primary

Addresses

Primary practice location

536 Emily Dr Ste B
Clarksburg, WV 26301-5507

Mailing address

536 Emily Dr Ste B
Clarksburg, WV 26301-5507
Phone (304) 566-7709

Other identifiers 1

IdentifierTypeStateIssuer
2000-IOD1OtherWVSTATE OPTOMETRY LICENCE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519001488 WV Practitioner - Optometry 5193958353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fick Eyecare, IncGroup PAC ID 5193817427, 2 clinicians

Practice addresses (Care Compare)

536 B Emily Dr
Clarksburg, WV 26301-5507

536 Emily Dr B
Clarksburg, WV 26301-5507
Phone (304) 566-7709

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000-IODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fick Eyecare, Inc Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Feltz Optometry of West Virginia PLLC Optometrist CurrentSince Mar 27, 2017 Accepting new patients
Dr Craig Liebig O D Inc Optometrist Past Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

209 Washington St W
Charleston, WV 25302
Phone 24852821166

536 Emily Dr
#B
Clarksburg, WV 26301
Phone (304) 556-7709

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1205199247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 EMILY DR STE B",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015507",
            "telephone_number": "304-566-7709",
            "fax_number": "304-715-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 EMILY DR STE B",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015507",
            "telephone_number": "304-566-7709",
            "fax_number": "304-715-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMBEL",
        "first_name": "TONYA",
        "middle_name": "MARIE SMITH",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2000-IOD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPTOMETRY LICENCE",
            "identifier": "2000-IOD1",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

Verify at the official NPI Registry.