Antonini Ocular Prosthetics, LLC

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

ANTONINI OCULAR PROSTHETICS, LLC

Practice address

1 Stadium Dr
Wvu Eye Institute
Morgantown, WV 26505

Phone

(304) 594-0719

Fax

(304) 241-1858

NPI assigned

Feb 7, 2014

Organization subpart

Yes

Parent organization

ANTONINI OCULAR PROSTHETICS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Christopher Antonini

Title

Owner

Phone

(304) 594-0719

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Antonin Ocular Prosthetics LLC3 organizations share this tax ID, including this one

Part of

Antonin Ocular Prosthetics LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Antonin Ocular Prosthetics, LLC

  • Ocularist
  • Beckley, WV
  • NPI 1417371717
  NPD tax ID
• Antonini Ocular Prosthetics, LLC

  • Ocularist
  • Morgantown, WV
  • NPI 1366714511
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Antonini Ocular Prosthetics, LLC

  • Ocularist
  • Morgantown, WV
  • NPI 1366714511
  NPPES parent name

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1508280801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 SURREY DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052926",
            "telephone_number": "304-594-0719",
            "fax_number": "304-241-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STADIUM DR",
            "address_2": "WVU EYE INSTITUTE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-594-0719",
            "fax_number": "304-241-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONINI OCULAR PROSTHETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTONINI OCULAR PROSTHETICS, LLC",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "ANTONINI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-594-0719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381002299",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saketh Annam, MD
• Ina Annon
• Jennifer Renee Ansell, LPN
• Melinda J Antonik, PT
• Antonini Ocular Prosthetics, LLC
• Christopher Antonini, B.C.O.
• Ahdia Anwar, M.D.
• Masroor Anwar, MD
• Oghuz Anwar, DO
• Apo Counseling, LLC

• Ocularist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Ocularist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.