Weirton Eye Clinic, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

D-611 Issued in WV

Legal business name

WEIRTON EYE CLINIC, INC.

Practice address

3065 Main St
Weirton, WV 26062-4709

Phone

(304) 748-5230

Fax

(304) 748-2123

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Frank S Decaria, ODNPI 1750378790

Title

Optometrist

Phone

(304) 748-5230

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

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

• Frank Salvatore Decaria, OD

  • Optometrist
  • Weirton, WV
  • NPI 1750378790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1295987055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624709",
            "telephone_number": "304-748-5230",
            "fax_number": "304-748-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624709",
            "telephone_number": "304-748-5230",
            "fax_number": "304-748-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIRTON EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "DECARIA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "304-748-5230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "D-611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-50654000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Marie Walters
• Liz L. Watkins, LPC
• Mark Steven Watson
• Weirton Area Ambulance & Rescue Squad Inc
• Weirton Dialysis Center, LLC
• Weirton Geriatric Center Inc
• Weirton Geriatric Center, Inc.(Nems)
• Weirton Health Care
• Weirton Health Care Inc
• Weirton Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.