Individual provider Active NPI

Edward Clifton Hyre, O.D.

  • Optometrist
  • Elkins, WV
National Provider Identifier
1447240205
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
565OD Issued in WV
Practice address
1500 Harrison Ave
Suite 2
Elkins, WV 26241-3327
Phone
(304) 636-9111
Fax
(614) 923-9575
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 565OD WV Primary

Addresses

Primary practice location

1500 Harrison Ave
Suite 2
Elkins, WV 26241-3327

Mailing address

115 Wilton Ave
Elkins, WV 26241-3260
Phone (304) 636-5175

Other identifiers 1

IdentifierTypeStateIssuer
0150280000MedicaidWV

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Center Optometrist PastSince Jan 1, 2000 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447240205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WILTON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413260",
            "telephone_number": "304-636-5175",
            "fax_number": "304-636-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HARRISON AVE",
            "address_2": "SUITE 2",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413327",
            "telephone_number": "304-636-9111",
            "fax_number": "614-923-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYRE",
        "first_name": "EDWARD",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "565OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150280000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.