Individual provider Active NPI

Patrick Mills Fleming, OD

  • Optometrist
  • Martinsburg, WV
National Provider Identifier
1336224542
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
833OD Issued in WV
Practice address
910 Foxcroft Ave
Martinsburg, WV 25401
Phone
(304) 267-9911
Fax
(304) 267-9914
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 833OD WV Primary
Optometrist 152W00000X 0618000554 VA
Optometrist 152W00000X TA0950 MD

Addresses

Primary practice location

910 Foxcroft Ave
Martinsburg, WV 25401

Mailing address

19336 Leitersburg Pike
Hagerstown, MD 21742
Phone (304) 267-9911

Other identifiers 2

IdentifierTypeStateIssuer
60997201OtherMDCAREFIRST BCBS
0149842000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031117000755 VA Practitioner - Optometry 5890609572 Reassigns benefits to 1 organization
I20100419000174 WV Practitioner - Optometry 5890609572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0950MDMDOptometrist
0618000554VAMDOptometrist
833ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of West Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Past Accepting new patients
National Optometry Steven Kasinof and 17 Associates Optometrists Optometrist PastSince Nov 8, 2010 Accepting new patients

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

1328 Greenbrier Pkwy
Ste 420
Chesapeake, VA 23320
Phone (757) 523-2000

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

2028 S Pleasant Valley Rd
Winchester, VA 22601
Phone (540) 722-3217

3051 Valley Ave
Ste 102
Winchester, VA 22601
Phone (540) 450-8504

838 Somerset Blvd
Charles Town, WV 25414
Phone (304) 725-4828

5405 Williamsport Pike
Martinsburg, WV 25404
Phone (301) 671-2400

910 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 267-9911

910 Foxcroft Ave
Ste 213
Martinsburg, WV 25401
Phone (304) 267-9913

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336224542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19336 LEITERSBURG PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "304-267-9911",
            "fax_number": "304-267-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FOXCROFT AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-267-9911",
            "fax_number": "304-267-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "PATRICK",
        "middle_name": "MILLS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "833OD",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000554",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "60997201",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149842000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.