Active NPI
Joseph L Trupo, OD
- Optometrist
- Elkins, WV
National Provider Identifier
1306804596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 601-OD
- Practice address
- 1506 Harrison Ave
Elkins, WV 26241-3355 - Phone
- (304) 636-2020
- Fax
- (304) 636-5911
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 601-OD | WV | Primary |
Addresses
Primary practice location
1506 Harrison Ave
Elkins, WV 26241-3355
Mailing address
1506 Harrison Ave
Elkins, WV 26241-3355
Phone (304) 636-2020
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550571839 | Other | WV | WV CHIPS ID # |
| 001719616 | Other | WV | BC&BS PROVIDER # |
| 0150524000 | Medicaid | WV | |
| 0485700001 | Other | WV | DMERC PRODIVER # |
| 550571839 | Other | WV | PEIA ID# |
| 0646156 | Other | WV | UMW PROVIDER # |
| 406580461 | Other | WV | RAILROAD PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 601-OD | WV | MD | Optometrist |
| 601 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1306804596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 HARRISON AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413355",
"telephone_number": "304-636-2020",
"fax_number": "304-636-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 HARRISON AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413355",
"telephone_number": "304-636-2020",
"fax_number": "304-636-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUPO",
"first_name": "JOSEPH",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "601-OD",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV CHIPS ID #",
"identifier": "550571839",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC&BS PROVIDER #",
"identifier": "001719616",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150524000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC PRODIVER #",
"identifier": "0485700001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEIA ID#",
"identifier": "550571839",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMW PROVIDER #",
"identifier": "0646156",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PROVIDER #",
"identifier": "406580461",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.