Organization Active NPI

Eyewear Express LTD., Inc

Doing business as Eyecare One

  • Durable Medical Equipment & Medical Supplies
  • Beckley, WV
National Provider Identifier
1427157387
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EYEWEAR EXPRESS LTD., INC
Doing business as
Eyecare One
Practice address
229 Market Rd
Beckley, WV 25801-7114
Phone
(304) 252-1050
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Brenda W Castle
Title
President
Phone
(304) 252-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

229 Market Rd
Beckley, WV 25801-7114

Mailing address

229 Market Rd
Beckley, WV 25801-7114
Phone (304) 252-1050

Other identifiers 1

IdentifierTypeStateIssuer
0151272000MedicaidWV

Other names 1

  • EYECARE ONE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180131001843 WV Part B Supplier - Clinic/Group Practice 4183741903 Receives reassigned benefits from 3 practitioners
Practice locations: Beckley, WV

National Provider Directory

National Provider Directory

Locations

229 Market Rd
Beckley, WV 25801
Phone (304) 250-1050

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1427157387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MARKET RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017114",
            "telephone_number": "304-252-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 MARKET RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017114",
            "telephone_number": "304-252-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR EXPRESS LTD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-252-1050"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151272000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYECARE ONE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYECARE ONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.