Organization Active NPI

Tekavec Inc.

Doing business as EyecareOne

  • Optometrist
  • Fairmont, WV
National Provider Identifier
1477677714
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
915OD Issued in WV
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

Updated by the provider on Jan 29, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0149719000MedicaidWV

Other names 1

  • EyecareOne Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.