Organization Active NPI

Regional Eye Associates, Inc

Doing business as Surgical Eye Center of Morgantown

  • Ambulatory Surgical Clinic/Center
  • Morgantown, WV
National Provider Identifier
1205998648
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
REGIONAL EYE ASSOCIATES, INC
Doing business as
Surgical Eye Center of Morgantown
Practice address
1299 Pineview Dr
Morgantown, WV 26505
Phone
(304) 598-5777
Fax
(304) 598-5754
NPI assigned
Dec 14, 2006
Last updated
Jun 27, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL EYE ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Stephen R Powell, M.D.NPI 1982777017
Title
President
Phone
(304) 598-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1299 Pineview Dr
Morgantown, WV 26505

Mailing address

1255 Pineview Dr
Morgantown, WV 26505-2713
Phone (304) 598-3301

Other identifiers 1

IdentifierTypeStateIssuer
0007123001MedicaidWV

Other names 1

  • Surgical Eye Center of Morgantown Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000001 WV Part B Supplier - Ambulatory Surgical Center 1456255876 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morgantown, WV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgical Eye Center of MorgantownCCN 51C0001011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Regional Eye Assoc Inc7 organizations share this tax ID, including this one
Part of
Regional Eye Assoc Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1299 Pineview Dr
Morgantown, WV 26505
Phone (304) 598-5755

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1205998648",
    "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": "1299 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-598-5777",
            "fax_number": "304-598-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL EYE ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL EYE ASSOCIATES, INC.",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-598-3301",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007123001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Eye Center of Morgantown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.