Individual provider Active NPI

Michael L Adkins, OD

  • Optometrist
  • Lewisburg, WV
National Provider Identifier
1609885649
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
927-OD Issued in WV
Practice address
105 S Lafayette St
Lewisburg, WV 24901-1412
Phone
(304) 645-2774
Fax
(304) 645-2774
NPI assigned
Aug 7, 2006
Last updated
Feb 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

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

Addresses

Primary practice location

105 S Lafayette St
Lewisburg, WV 24901-1412

Mailing address

105 S Lafayette St
Lewisburg, WV 24901-1412
Phone (304) 645-2774

Other identifiers 1

IdentifierTypeStateIssuer
0149753000MedicaidWV

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
I20080124000232 WV Practitioner - Optometry 7911089339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ferrell Eye Clinic PCGroup PAC ID 6901988328, 2 clinicians

Practice addresses (Care Compare)

256 Lafayette St
Lewisburg, WV 24901-2009
Phone (304) 645-2774

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
927-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Ferrell Eye Clinic, PC Optometrist CurrentSince Jan 1, 1996 Accepting new patients
Gregmar Inc Past Accepting new patients

Locations

256 Lafayette St
Lewisburg, WV 24901
Phone (304) 645-2774

Organizations & group practices 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1609885649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S LAFAYETTE ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011412",
            "telephone_number": "304-645-2774",
            "fax_number": "304-645-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S LAFAYETTE ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011412",
            "telephone_number": "304-645-2774",
            "fax_number": "304-645-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "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 Lewisburg, WV

Sources for this page

Verify at the official NPI Registry.