Organization Active NPI

Nunya Corporation

Doing business as North Marion Vision Center

  • Optometrist
  • Farmington, WV
National Provider Identifier
1245203900
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WV830D Issued in WV
Legal business name
NUNYA CORPORATION
Doing business as
North Marion Vision Center
Practice address
3208 Husky Hwy
Farmington, WV 26571-8122
Phone
(304) 825-6364
Fax
(304) 825-6750
NPI assigned
Feb 10, 2006
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Dr. Matthew G Berardi, ODNPI 1417022773
Title
President
Phone
(304) 825-6364

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 WV830D WV Primary

Addresses

Primary practice location

3208 Husky Hwy
Farmington, WV 26571-8122

Mailing address

3208 Husky Hwy
Farmington, WV 26571-8122
Phone (304) 825-6364

Other identifiers 1

IdentifierTypeStateIssuer
0149303000MedicaidWV

Other names 1

  • North Marion Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230323003320 WV Part B Supplier - Clinic/Group Practice 1153537584 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington, WV

National Provider Directory

National Provider Directory

Locations

3208 Husky Hwy
Farmington, WV 26571
Phone (304) 825-6364

Practitioners & affiliated clinicians

Practitioners 2

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": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1245203900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 HUSKY HWY",
            "city": "FARMINGTON",
            "state": "WV",
            "postal_code": "265718122",
            "telephone_number": "304-825-6364",
            "fax_number": "304-825-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 HUSKY HWY",
            "city": "FARMINGTON",
            "state": "WV",
            "postal_code": "265718122",
            "telephone_number": "304-825-6364",
            "fax_number": "304-825-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUNYA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-825-6364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV830D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149303000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Marion Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Marion Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.