Morgantown Eye Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MORGANTOWN EYE ASSOCIATES PLLC

Practice address

3000 Hampton Ctr Ste a
Morgantown, WV 26505-1708

Phone

(304) 598-2020

Fax

(304) 598-2024

NPI assigned

Feb 6, 2007

Last updated

Mar 24, 2009By 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

Dr. Thomas Aden Stout, O.D.NPI 1336144294

Title

Doctor

Phone

(304) 598-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Thomas A Stout, OD

  • Corneal and Contact Management Optometrist
  • Morgantown, WV
  • NPI 1336144294
  Medicare reassignment Care Compare group NPD Authorized official
• Erica Lynn Mancini, O.D.

  • Optometrist
  • Morgantown, WV
  • NPI 1962693317
  Medicare reassignment Care Compare group NPD
• Dona Danielle Wratchford, O.D.

  • Optometrist
  • Morgantown, WV
  • NPI 1134319122
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1518006154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HAMPTON CTR STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051708",
            "telephone_number": "304-598-2020",
            "fax_number": "304-598-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HAMPTON CTR STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051708",
            "telephone_number": "304-598-2020",
            "fax_number": "304-598-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTOWN EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ADEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "304-598-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Morgantown Internal Medicine Group Inc Laboratory

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.