Individual provider Active NPI

Madison Faith Dillon, OD

  • Optometrist
  • Williamson, WV
National Provider Identifier
1528816402
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3040-IOD Issued in WV
Practice address
184 E 2ND Ave Ste 210
Williamson, WV 25661-3602
Phone
(304) 236-5902
NPI assigned
May 7, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3040-IOD WV Primary

Addresses

Primary practice location

184 E 2ND Ave Ste 210
Williamson, WV 25661-3602

Mailing address

PO Box 2080
Williamson, WV 25661-2080
Phone (304) 236-5902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813004359 WV Practitioner - Optometry 1355889015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Health & Wellness Center Inc CurrentSince Jul 22, 2024 Accepting new patients
Williamson Health & Wellness Center Inc CurrentSince Jul 22, 2024 Accepting new patients
Comprehensive Health Solutions, PLLC Current Accepting new patients
Williamson Health & Wellness Center Inc Current Accepting new patients

Locations

184 E 2nd Ave
Williamson, WV 25661
Phone (304) 235-1844

184 E 2nd Ave
Ste 201
Williamson, WV 25661

184 E 2nd Ave
Ste 210
Williamson, WV 25661

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1528816402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2080",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256612080",
            "telephone_number": "304-236-5902",
            "fax_number": "304-235-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E 2ND AVE STE 210",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613602",
            "telephone_number": "304-236-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MADISON",
        "middle_name": "FAITH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "3040-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, WV

Sources for this page

Verify at the official NPI Registry.