The Eye Shop

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

THE EYE SHOP

Practice address

1 Medical Center Dr
Morgantown, WV 26506-1200

Phone

(304) 598-4888

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Dawn Berardi

Title

Owner

Phone

(304) 598-4888

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1407323397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-598-4888"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "83145721",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS#",
            "identifier": "233170297",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "202588917",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satid Thammasitboon, M.D.
• Sittinun Thangjui
• Amy Thaxton
• Jessica Thayer, MD
• The Chiropractic Care Center of Morgantown
• The Immaculate Mind Consult, LLC
• The Progressive Orthopaedic Company,LLC
• The Well, PLLC
• Therapy Services, LLC
• Lindsey Michelle Thevenin

• Eyewear Supplier in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Eyewear Supplier in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.