Antonini Ocular Prosthetics, LLC

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

ANTONINI OCULAR PROSTHETICS, LLC

Practice address

Antonini Ocular Prosthetics, LLC
1 Medical Center Drive Wvu Eye Institute
Morgantown, WV 26506

Phone

(877) 594-0719

Fax

(304) 241-1858

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Christopher M. Antonini, B.C.O.NPI 1073885232

Title

Owner/Ocularst

Phone

(304) 685-4595

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Antonin Ocular Prosthetics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Antonin Ocular Prosthetics, LLC

  • Ocularist
  • Beckley, WV
  • NPI 1417371717
  NPD tax ID
• Antonini Ocular Prosthetics, LLC

  • Ocularist
  • Morgantown, WV
  • NPI 1508280801
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Antonin Ocular Prosthetics, LLC

  • Ocularist
  • Beckley, WV
  • NPI 1417371717
  NPPES parent name
• Antonini Ocular Prosthetics, LLC

  • Ocularist
  • Morgantown, WV
  • NPI 1508280801
  NPPES parent name

Practitioners 1

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

• Christopher Antonini, B.C.O.

  • Ocularist
  • Morgantown, WV
  • NPI 1073885232
  NPD Authorized official

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1366714511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 FAR MEADOWS",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508",
            "telephone_number": "304-343-9277",
            "fax_number": "304-241-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANTONINI OCULAR PROSTHETICS, LLC",
            "address_2": "1 MEDICAL CENTER DRIVE WVU EYE INSTITUTE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "877-594-0719",
            "fax_number": "304-241-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONINI OCULAR PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "ANTONINI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/OCULARST",
        "authorized_official_telephone_number": "304-685-4595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381002299",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Raney Angeline, M.D.
• Saketh Annam, MD
• Ina Annon
• Jennifer Renee Ansell, LPN
• Melinda J Antonik, PT
• Antonini Ocular Prosthetics, LLC
• Christopher Antonini, B.C.O.
• Ahdia Anwar, M.D.
• Masroor Anwar, MD
• Oghuz Anwar, DO

• Ocularist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Ocularist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.