Organization Active NPI

Blue Ridge Eye Care, Inc.

  • Optometrist
  • Bluefield, WV
National Provider Identifier
1649293473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
993-OD Issued in WV
Legal business name
BLUE RIDGE EYE CARE, INC.
Practice address
US Hwy 460 St RT 25
Mercer Mall
Bluefield, WV 24701
Phone
(304) 327-0207
Fax
(304) 324-0908
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cynthia Dawn Inman, O.D.NPI 1215950472
Title
President
Phone
(304) 327-0207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 993-OD WV Primary

Addresses

Primary practice location

US Hwy 460 St RT 25
Mercer Mall
Bluefield, WV 24701

Mailing address

PO Box 7202
Bluefield, WV 24701-7202
Phone (304) 327-0207

Other identifiers 1

IdentifierTypeStateIssuer
CH4381OtherWVUNITED HEALTHCARE GROUP

National Provider Directory

National Provider Directory

Locations

261 Mercer Mall Rd
Ste 802
Bluefield, WV 24701
Phone (304) 327-0207

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649293473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7202",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247017202",
            "telephone_number": "304-327-0207",
            "fax_number": "304-324-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 460 ST RT 25",
            "address_2": "MERCER MALL",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-327-0207",
            "fax_number": "304-324-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-327-0207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "993-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GROUP",
            "identifier": "CH4381",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.