Family Eyedoctors PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

939-OD Issued in WV

Legal business name

FAMILY EYEDOCTORS PLLC

Practice address

1500 Grand Central Ave Ste 112
Vienna, WV 26105-1079

Phone

(304) 295-5025

NPI assigned

Mar 28, 2011

Last updated

Oct 20, 2020By 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. Jill ShowalterNPI 1659424877

Title

Owner

Phone

(304) 295-5025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family EyeDoctors Other name

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

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.

• Jill Kristine Showalter, O.D.

  • Optometrist
  • Vienna, WV
  • NPI 1659424877
  Medicare reassignment Care Compare group NPD Authorized official
• Susannah Neff, OD

  • Optometrist
  • Vienna, WV
  • NPI 1336208040
  Medicare reassignment Care Compare group NPD
• Timothy Shawn Stephens, OD

  • Optometrist
  • Vienna, WV
  • NPI 1619979630
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1538468764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE STE 112",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-295-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE STE 112",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-295-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYEDOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-295-5025",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "939-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A530",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family EyeDoctors",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Evolutis, LLC
• Eyemart Express LLC
• Eyemart Express LTD
• Eyes on Grand Central Inc
• Fabbri Enterprises (Senior Helpers)
• Sara Jo Farley
• Walter Jay Ferrebee, RPH
• David Ralph Ferrell, MD
• Elizabeth Festian
• Crystal Fetty

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.