Individual provider Active NPI

John Morgan Cline, O.D.

  • Optometrist
  • Summersville, WV
National Provider Identifier
1578698205
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
810-OD Issued in WV
Practice address
669 W Webster Rd
Summersville, WV 26651-1058
Phone
(304) 872-1400
Fax
(304) 872-1400
NPI assigned
Feb 22, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 810-OD WV Primary

Addresses

Primary practice location

669 W Webster Rd
Summersville, WV 26651-1058

Mailing address

669 W Webster Rd
Summersville, WV 26651-2100
Phone (304) 872-1400

Other practice location 1

200 Wal St
Summersville, WV 26651-2100
Phone (304) 872-1400

Other identifiers 4

IdentifierTypeStateIssuer
410032708OtherWVMEDICARE RAILROAD
43382OtherWVDAVIS INS
0149270000OtherUMWA
0149270000MedicaidWV

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
I20080924000271 WV Practitioner - Optometry 4082781695 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co.Group PAC ID 4183527476, shared by 9 NPIs, 65 clinicians

Practice addresses (Care Compare)

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

669 W Webster Rd
Summersville, WV 26651-1058
Phone (304) 872-1400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
810WVMDClinical Psychologist
810-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co CurrentSince Nov 23, 2024 Accepting new patients
Hospital Development Co CurrentSince Nov 23, 2024 Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Past Accepting new patients

Locations

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

300 Hospital Dr
Spencer, WV 25276
Phone (304) 927-6136

Organizations & group practices 7

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1578698205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 W WEBSTER RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266512100",
            "telephone_number": "304-872-1400",
            "fax_number": "304-872-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 W WEBSTER RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511058",
            "telephone_number": "304-872-1400",
            "fax_number": "304-872-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Wal St",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266512100",
            "country_code": "US",
            "telephone_number": "304-872-1400",
            "fax_number": "304-872-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "JOHN",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-09-29",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "810-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410032708",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS INS",
            "identifier": "43382",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0149270000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149270000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.