NPIMap

Organization Active NPI

Pro Eyes Optometry Associates, LLC

  • Optometrist
  • Huntington, WV
National Provider Identifier
1285829812
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WV 740 D Issued in WV
Legal business name
PRO EYES OPTOMETRY ASSOCIATES, LLC
Practice address
3333 US Route 60
Huntington, WV 25705
Phone
(304) 522-2551
Fax
(304) 522-2544
NPI assigned
Sep 6, 2007
Organization subpart
Yes
Parent organization
PRO EYES OPTOMETRY ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Mark Charles Brown, O.D.NPI 1811980949
Title
Owner
Phone
(304) 522-2551

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 WV 740 D WV Primary

Addresses

Primary practice location

3333 US Route 60
Huntington, WV 25705

Mailing address

3333 US Route 60
Huntington, WV 25705
Phone (304) 522-2551

Other identifiers 2

IdentifierTypeStateIssuer
000101835OtherWVBLUE CROSS BLUE SHIELD
0150722000MedicaidWV

National Provider Directory

National Provider Directory
Part of
Pro Eyes Optometry Associates LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1285829812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25705",
            "telephone_number": "304-522-2551",
            "fax_number": "304-522-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25705",
            "telephone_number": "304-522-2551",
            "fax_number": "304-522-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO EYES OPTOMETRY ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRO EYES OPTOMETRY ASSOCIATES, LLC",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-522-2551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV 740 D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000101835",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150722000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.