Eye Candy Beauty Supply

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EYE CANDY BEAUTY SUPPLY

Practice address

208 Adams St
Fairmont, WV 26554-2826

Phone

(304) 368-0027

NPI assigned

Oct 31, 2017

Organization subpart

No

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

Authorized official

Name

Tiffany Dushawn Samuels

Title

Owner

Phone

(304) 657-7558

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1225540263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADDOCK ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542208",
            "telephone_number": "304-657-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ADAMS ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542826",
            "telephone_number": "304-368-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CANDY BEAUTY SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DUSHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-657-7558"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Prosthetic/Orthotic Supplier in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.