Organization Active NPI

Ferrell Eye Clinic, P.C

  • Optometrist
  • Peterstown, WV
National Provider Identifier
1578770889
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
927-OD Issued in WV
Legal business name
FERRELL EYE CLINIC, P.C
Practice address
19 H Market St
Peterstown, WV 24963
Phone
(304) 753-6001
Fax
(304) 753-6002
NPI assigned
May 17, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Michael L Adkins, O.D
Title
Owner
Phone
(304) 753-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 927-OD WV Primary

Addresses

Primary practice location

19 H Market St
Peterstown, WV 24963

Mailing address

PO Box 566
Peterstown, WV 24963-0566
Phone (304) 753-6001

Other identifiers 1

IdentifierTypeStateIssuer
0149753000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1578770889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "249630566",
            "telephone_number": "304-753-6001",
            "fax_number": "304-753-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 H MARKET ST",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "24963",
            "telephone_number": "304-753-6001",
            "fax_number": "304-753-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRELL EYE CLINIC, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-753-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "927-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149753000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.