Organization Active NPI

Allegany Optical LLC

Doing business as Allegany Optical

  • Optometrist
  • Martinsburg, WV
National Provider Identifier
1245411586
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALLEGANY OPTICAL LLC
Doing business as
Allegany Optical
Practice address
910 Foxcroft Ave
Martinsburg, WV 25401-1835
Phone
(304) 267-9911
Fax
(304) 267-9914
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Patrick M Fleming, O.D.
Title
O.D. / Managing Member
Phone
(304) 267-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X WV Primary

Addresses

Primary practice location

910 Foxcroft Ave
Martinsburg, WV 25401-1835

Mailing address

910 Foxcroft Ave
Martinsburg, WV 25401-1835
Phone (304) 267-9911

Other identifiers 2

IdentifierTypeStateIssuer
0201708000MedicaidWV
CH4518OtherWVRAILROAD MEDICARE

Other names 1

  • ALLEGANY OPTICAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1245411586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 FOXCROFT AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011835",
            "telephone_number": "304-267-9911",
            "fax_number": "304-267-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FOXCROFT AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011835",
            "telephone_number": "304-267-9911",
            "fax_number": "304-267-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "O.D. / MANAGING MEMBER",
        "authorized_official_telephone_number": "304-267-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201708000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4518",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGANY OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.