Organization Active NPI

Dove Eye

Doing business as jerry dove eye

  • Eyewear Supplier
  • Bridgeport, WV
National Provider Identifier
1255755203
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DOVE EYE
Doing business as
jerry dove eye
Practice address
120 Medical Park Dr Ste 103
Bridgeport, WV 26330-9013
Phone
(304) 842-4000
NPI assigned
Feb 11, 2014
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Miss Dawn Berardi
Title
Secretary
Phone
(304) 842-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

120 Medical Park Dr Ste 103
Bridgeport, WV 26330-9013

Mailing address

120 Medical Park Dr Ste 103
Bridgeport, WV 26330-9013

Other names 1

  • jerry dove eye Doing business as

National Provider Directory

National Provider Directory

Locations

120 Medical Park Dr
Ste 103
Bridgeport, WV 26330
Phone (304) 825-6364

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1255755203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MEDICAL PARK DR STE 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL PARK DR STE 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309013",
            "telephone_number": "304-842-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE EYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "304-842-4000",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jerry dove eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.