United Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

830-OD Issued in WV

Legal business name

UNITED EYE ASSOCIATES

Practice address

120 Medical Park Drive
Suite 103
Bridgeport, WV 26330

Phone

(304) 825-6364

NPI assigned

Oct 19, 2011

Last updated

May 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Berardi, O.D.NPI 1417022773

Title

Owner

Phone

(304) 825-6364

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Glen Berardi, OD

  • Optometrist
  • Farmington, WV
  • NPI 1417022773
  Authorized official Same address or phone
• Lori Michele Angotti, O.D.

  • Optometrist
  • Bridgeport, WV
  • NPI 1962520387
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1467737676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 HUSKY HWY.",
            "city": "FARMINGTON",
            "state": "WV",
            "postal_code": "265719721",
            "telephone_number": "304-825-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-825-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-825-6364",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "830-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007303",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Tuttle
• Christopher Ude, PT
• Heidi A Ude
• Danielle Uffelman
• Bill D. Underwood, M.D., PH.D.
• United Hospital Center
• United Hospital Center (UHC Gastroenterology)
• United Hospital Center (UHC Plastic & Reconstructive Surgery)
• United Hospital Center
• United Hospital Center (UHC Wound Care)

• Optometrist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.