NPIMap

Organization Active NPI

Glaucoma Consultants of Wheeling

  • Ophthalmology Physician
  • Wheeling, WV
National Provider Identifier
1356467278
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17583 Issued in WV
Legal business name
GLAUCOMA CONSULTANTS OF WHEELING
Practice address
2101 Jacob St Ste 401
Wheeling, WV 26003-3800
Phone
(304) 234-1863
Fax
(304) 234-1844
NPI assigned
Mar 22, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Janis Reed, M.D.NPI 1881784106
Title
Owner
Phone
(304) 234-1863

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 17583 WV Primary
Ophthalmology Physician 207W00000X 35066784 OH

Addresses

Primary practice location

2101 Jacob St Ste 401
Wheeling, WV 26003-3800

Mailing address

2101 Jacob St Ste 401
Wheeling, WV 26003-3800
Phone (304) 234-1863

Other identifiers 1

IdentifierTypeStateIssuer
0095128000MedicaidWV

National Provider Directory

National Provider Directory

Locations

2101 Jacob St
Ste 401
Wheeling, WV 26003
Phone (304) 234-1863

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1356467278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACOB ST STE 401",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033800",
            "telephone_number": "304-234-1863",
            "fax_number": "304-234-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACOB ST STE 401",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033800",
            "telephone_number": "304-234-1863",
            "fax_number": "304-234-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CONSULTANTS OF WHEELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-234-1863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "17583",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35066784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095128000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.