Vision Health Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

853-OD Issued in WV

Legal business name

VISION HEALTH CARE, INC.

Practice address

717 Fairmont Ave
Fairmont, WV 26554-5135

Phone

(304) 366-3830

Fax

(304) 366-8049

NPI assigned

Oct 26, 2006

Last updated

Aug 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Colleen Van Horn, O.D.NPI 1649355520

Title

Owner/President

Phone

(304) 366-3830

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Cheryl Colleen Van Horn, O.D.

  • Optometrist
  • Fairmont, WV
  • NPI 1649355520
  Authorized official Same address or phone

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1255416137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545135",
            "telephone_number": "304-366-3830",
            "fax_number": "304-366-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545135",
            "telephone_number": "304-366-3830",
            "fax_number": "304-366-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "304-366-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "853-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "001709527",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004366",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Vilain
• Jenna Anne Vincent
• Mason Vincent
• Megan Rose Vincent, DPT
• Megan S Vincent, APRN, FNP-BC
• Nicole Volek
• Maximillian Von Doemming
• Karen Sue Waddell
• Kristine Frances-Marie Waddell
• J Keith Wade, OD

• Optometrist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.