NPIMap

Organization Active NPI

Feltz Optometry of West Virginia PLLC

  • Optometrist
  • Charleston, WV
National Provider Identifier
1205375391
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2032-OD Issued in WV
Legal business name
FELTZ OPTOMETRY OF WEST VIRGINIA PLLC
Practice address
209 Washington St W
Charleston, WV 25302-2348
Phone
(248) 528-1981
Fax
(614) 416-2105
NPI assigned
Feb 22, 2017
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Andrew D Feltz, ODNPI 1225037393
Title
Sole MBR
Phone
(248) 528-1981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2032-OD WV Primary

Addresses

Primary practice location

209 Washington St W
Charleston, WV 25302-2348

Mailing address

209 Washington St W
Charleston, WV 25302-2348
Phone (248) 528-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170425001559 WV Part B Supplier - Clinic/Group Practice 4981981172 Receives reassigned benefits from 10 practitioners
Practice locations: Charleston, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1205375391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WASHINGTON ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022348",
            "telephone_number": "248-528-1981",
            "fax_number": "614-416-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WASHINGTON ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022348",
            "telephone_number": "248-528-1981",
            "fax_number": "614-416-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELTZ OPTOMETRY OF WEST VIRGINIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "FELTZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "248-528-1981",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2032-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.