Individual provider Active NPI

James Pasinski, OD

  • Optometrist
  • Morgantown, WV
National Provider Identifier
1649325291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
720-OD Issued in WV
Practice address
1257 Pineview Dr
Morgantown, WV 26505-2713
Phone
(304) 599-7034
Fax
(304) 599-5483
NPI assigned
Jan 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 720-OD WV Primary

Addresses

Primary practice location

1257 Pineview Dr
Morgantown, WV 26505-2713

Mailing address

1257 Pineview Dr
Morgantown, WV 26505-2713
Phone (304) 599-7034

Other identifiers 1

IdentifierTypeStateIssuer
0150917000MedicaidWV

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
I20050621000681 WV Practitioner - Optometry 9739122664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
720-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Optical PLLC Optometrist CurrentSince Jun 19, 2001 Accepting new patients
Optical 101 PLLC PastSince Jan 1, 2011 Accepting new patients

Locations

1257 Pineview Dr
Morgantown, WV 26505
Phone (304) 599-7034

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649325291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052713",
            "telephone_number": "304-599-7034",
            "fax_number": "304-599-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052713",
            "telephone_number": "304-599-7034",
            "fax_number": "304-599-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASINSKI",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "720-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150917000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.