NPIMap

Organization Active NPI

Mark J Cinalli OD Faao PLLC

  • Optometrist
  • Glenville, WV
National Provider Identifier
1285677013
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
759-OD Issued in WV
Legal business name
MARK J CINALLI OD FAAO PLLC
Practice address
307 Howard St
Glenville, WV 26351-1170
Phone
(304) 462-5366
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Mark James Cinalli, O.D., FAAONPI 1376508549
Title
Owner
Phone
(304) 462-5366

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 759-OD WV Primary

Addresses

Primary practice location

307 Howard St
Glenville, WV 26351-1170

Mailing address

307 Howard St
Glenville, WV 26351-1170
Phone (304) 462-5366

Other identifiers 1

IdentifierTypeStateIssuer
0150790000MedicaidWV

Other names 1

  • Gilmer County Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1285677013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HOWARD ST",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511170",
            "telephone_number": "304-462-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HOWARD ST",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511170",
            "telephone_number": "304-462-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J CINALLI OD FAAO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "CINALLI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-462-5366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "759-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150790000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilmer County Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.