Organization Active NPI

Huntington Retina Center, Inc.

  • Medical Specialty Clinic/Center
  • Huntington, WV
National Provider Identifier
1518153089
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
15984 Issued in WV
Legal business name
HUNTINGTON RETINA CENTER, INC.
Practice address
1616 13TH Ave
Suite 3 B&C
Huntington, WV 25701-3840
Phone
(304) 525-1404
Fax
(304) 523-9763
NPI assigned
Sep 19, 2007
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Stephanie Ann Skolik, M.D.NPI 1033101761
Title
President/Ceo
Phone
(304) 525-1404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 15984 WV Primary

Addresses

Primary practice location

1616 13TH Ave
Suite 3 B&C
Huntington, WV 25701-3840

Mailing address

1616 13TH Ave
Suite 3 B&C
Huntington, WV 25701-3840
Phone (304) 525-1404

Other identifiers 3

IdentifierTypeStateIssuer
65909954MedicaidKY
2067212MedicaidOH
3810011522MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000435 WV Part B Supplier - Clinic/Group Practice 1254420342 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, WV

National Provider Directory

National Provider Directory

Locations

1616 13th Ave
Ste 3
Huntington, WV 25701
Phone (304) 525-1404

1616 13th Ave
Ste 3B
Huntington, WV 25701
Phone (304) 343-3937

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1518153089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE",
            "address_2": "SUITE 3 B&C",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-525-1404",
            "fax_number": "304-523-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE",
            "address_2": "SUITE 3 B&C",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-525-1404",
            "fax_number": "304-523-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON RETINA CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "SKOLIK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "304-525-1404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WV",
            "license": "15984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65909954",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067212",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011522",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.