Active NPI
Tekavec Inc.
Doing business as EyecareOne
- Optometrist
- Fairmont, WV
National Provider Identifier
1477677714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 915OD
- Legal business name
- TEKAVEC INC.
- Doing business as
- EyecareOne
- Practice address
- 2690 White Hall Blvd
Fairmont, WV 26554-8226 - Phone
- (304) 363-4533
- Fax
- (304) 366-9809
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Edward Tekavec, OD
- Title
- Owner Optometrist
- Phone
- (304) 363-4533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 915OD | WV | Primary |
Addresses
Primary practice location
2690 White Hall Blvd
Fairmont, WV 26554-8226
Mailing address
2690 White Hall Blvd
Fairmont, WV 26554-8226
Phone (304) 363-4533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149719000 | Medicaid | WV |
Other names 1
- EyecareOne
National Provider Directory
National Provider DirectoryLocations
2690 White Hall Blvd
White Hall, WV 26554
Phone (304) 363-4533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1477677714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 WHITE HALL BLVD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265548226",
"telephone_number": "304-363-4533",
"fax_number": "304-366-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 WHITE HALL BLVD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265548226",
"telephone_number": "304-363-4533",
"fax_number": "304-366-9809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEKAVEC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "TEKAVEC",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER OPTOMETRIST",
"authorized_official_telephone_number": "304-363-4533",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WV",
"license": "915OD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149719000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EyecareOne",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.