NPIMap

Organization Active NPI

West Virginia Optometric Group Inc

Doing business as Vision by Design

  • Optometrist
  • Fairmont, WV
National Provider Identifier
1245599315
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1077-OD Issued in WV
Legal business name
WEST VIRGINIA OPTOMETRIC GROUP INC
Doing business as
Vision by Design
Practice address
1476 Lawrence St
Fairmont, WV 26554-2355
Phone
(304) 444-5573
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. Kelli Marie McCartney, O.D.NPI 1811201692
Title
President/Ceo
Phone
(304) 444-5573

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 1077-OD WV Primary

Addresses

Primary practice location

1476 Lawrence St
Fairmont, WV 26554-2355

Mailing address

1476 Lawrence St
Fairmont, WV 26554-2355
Phone (304) 444-5573

Other names 1

  • Vision by Design Doing business as

National Provider Directory

National Provider Directory

Locations

1076 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 285-5480

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": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1245599315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 LAWRENCE ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542355",
            "telephone_number": "304-444-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 LAWRENCE ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542355",
            "telephone_number": "304-444-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA OPTOMETRIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "304-444-5573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1077-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision by Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.