William Benjamin Conrad, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1053-OD Issued in WV

Practice address

130 Walmart Drive
Keyser, WV 26726-9466

Phone

(304) 788-7760

Fax

(304) 788-7761

NPI assigned

Jul 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• William Conrad Inc.

  • Primary Care Clinic/Center
  • New Creek, WV
  • NPI 1831447499
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457136000000",
    "number": "1548425838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WALMART DRIVE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269466",
            "telephone_number": "304-788-7760",
            "fax_number": "304-788-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WALMART DRIVE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269466",
            "telephone_number": "304-788-7760",
            "fax_number": "304-788-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "WILLIAM",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2016-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1053-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Colpitts
• Danielle Combs
• Mark Allen Combs
• Matthew Allen Combs
• Vicky Combs
• Amber Cook
• Frances Marlene Cook, SLP, MS
• Gerri Lynn Cook
• Jeffrey Trent Cook, MD
• Kourtney Nicole Cook

• Optometrist in Keyser, WV
• Providers in Keyser, 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 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.