Active NPI
Nancy A Collins
- Optometrist
- Lewisburg, WV
National Provider Identifier
1427017656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 615-OD
- Practice address
- 107 E Foster St
Lewisburg, WV 24901-1409 - Phone
- (304) 645-7000
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- 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 | 615-OD | WV | Primary |
Addresses
Primary practice location
107 E Foster St
Lewisburg, WV 24901-1409
Mailing address
107 E Foster St
Lewisburg, WV 24901-1409
Phone (304) 645-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150163000 | Medicaid | WV |
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 |
|---|---|---|---|
| 615-OD | WV | MD | Optometrist |
| 615 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299369600000",
"number": "1427017656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E FOSTER ST",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011409",
"telephone_number": "304-645-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E FOSTER ST",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011409",
"telephone_number": "304-645-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "NANCY",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2011-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "615-OD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150163000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.