Gregory Shawn Sammons, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2010-IOD Issued in WV

Practice address

3709 Teays Valley Rd
Hurricane, WV 25526-9645

Phone

(304) 757-2533

NPI assigned

Jul 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mountain State Eye Care PLLC

  • Optometrist
  • Hurricane, WV
  • NPI 1104794932
  Medicare reassignment NPD Authorized official
• James W. Herman, O.D.

  • Optometrist
  • Hurricane, WV
  • NPI 1376548974
  Medicare reassignment
• James W. Herman, OD

  • Optometrist
  • Hurricane, WV
  • NPI 1326218306
  NPD (past)
• Ultimate Health Services, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Proctorville, OH
  • NPI 1598216251
  NPD (past)

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1205243177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269645",
            "telephone_number": "304-757-2533",
            "fax_number": "304-757-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269645",
            "telephone_number": "304-757-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "GREGORY",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-12",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2010-IOD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA BOARD OF OPTOMETRY",
            "identifier": "2010-IOD",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Rutledge, PTA
• Khori Rutter
• Grace Elizabeth Ryan, OTR/L
• Chanda Salser
• Samir Shah Ecpwv LLC
• Tracey Sammons
• Patsy Samples, PCA
• Samuel D O'Dell, DDS, Inc
• Carlee Jane Sang
• Christopher M Santangelo, PA-C

• Optometrist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.

Verify at the official NPI Registry.