Robert William Powelson

Primary specialty

OptometristTaxonomy code 152W00000X

License

763OD Issued in WV

Practice address

401 Pike St
Shinnston, WV 26431-1405

Phone

(304) 592-1500

Fax

(304) 592-1343

NPI assigned

Jul 12, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sanjay Bharti MD PLLC

  • Internal Medicine Physician
  • Fairmont, WV
  • NPI 1962532549
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1619902822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PIKE ST",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311405",
            "telephone_number": "304-592-1500",
            "fax_number": "304-592-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PIKE ST",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311405",
            "telephone_number": "304-592-1500",
            "fax_number": "304-592-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELSON",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "763OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150761000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Palmer
• Carlina Diane Patrick
• Sarah R. Patrick, FNP-BC
• Morganne Phillips
• Alisha Ann Poling
• Aimee Marie Pride, M.S., CRC, QRP
• Procare Pharmacy Inc.
• Jasmine Reed
• Wendy L Riley
• Lauren Robinson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.