Spectrum Optical PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SPECTRUM OPTICAL PLLC

Practice address

1257 Pineview Dr
Morgantown, WV 26505-2713

Phone

(304) 599-7034

Fax

(304) 599-5483

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Richard Henry Goellner, DONPI 1568523611

Title

Managing Partner

Phone

(304) 599-7034

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spectrum Optical LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard H Goellner, OD

  • Optometrist
  • Waynesburg, PA
  • NPI 1568523611

  WV

  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Leigh Hamric, OD

  • Optometrist
  • Morgantown, WV
  • NPI 1770010738
  Medicare reassignment Care Compare group NPD
• Hobart J Seese, O.D.

  • Optometrist
  • Morgantown, WV
  • NPI 1437137890
  Medicare reassignment Care Compare group NPD
• Cynthia Lynn Zwolensky, OPTOMETRIST

  • Optometrist
  • Anmoore, WV
  • NPI 1073523775
  Medicare reassignment Care Compare group NPD
• Ryan Michael Alpino, OD

  • Optometrist
  • Louisville, KY
  • NPI 1114441110

  WV

  Medicare reassignment Care Compare group NPD
• Tyler Travis Kerr, OD

  • Optometrist
  • Blue Ash, OH
  • NPI 1073141081

  WV

  Medicare reassignment Care Compare group NPD
• James Pasinski, OD

  • Optometrist
  • Morgantown, WV
  • NPI 1649325291
  Medicare reassignment NPD
• Stacy Trego, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1982699013
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1255486882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052713",
            "telephone_number": "304-599-7034",
            "fax_number": "304-599-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052713",
            "telephone_number": "304-599-7034",
            "fax_number": "304-599-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OPTICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "GOELLNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "304-599-7034",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002839",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Optical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kayla Sparks, APRN, FNP-BC
• Sarah Danielle Spatzer, PA-C
• Skylar A Spaulding
• Spay Neuter Incentive Program of West Virginia
• Rachel Speaker, FNP-C
• Trisha Denise Spell, NNP-BC
• Wendy Lynn Sphar
• Amy Spigelmyer, PHARMD
• John C Spiker, PHYSICAL THERAPIST
• Jade Spina

• Optometrist in Morgantown, WV
• Providers in Morgantown, 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 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.