Cheryl Colleen Van Horn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

853-OD Issued in WV

Practice address

717 Fairmont Ave
Fairmont, WV 26554-5135

Phone

(304) 366-3830

Fax

(304) 366-8049

NPI assigned

Oct 26, 2006

Last updated

Aug 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of West Virginia PLLCGroup PAC ID 6709170434, 22 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Martinsburg, WV
  • NPI 1053760363
  Medicare reassignment Care Compare group NPD
• Vision Health Care, Inc.

  • Optometrist
  • Fairmont, WV
  • NPI 1255416137
  Authorized official Same address or phone
• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Fairmont, WV
  • NPI 1629620802
  NPD
• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Martinsburg, WV
  • NPI 1700235017
  NPD
• M F Anwar MD Inc

  • Ophthalmology Physician
  • Moundsville, WV
  • NPI 1548201247

  Optometrist

  NPD (past)
• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Charles Town, WV
  • NPI 1639528946
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1649355520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545135",
            "telephone_number": "304-366-3830",
            "fax_number": "304-366-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545135",
            "telephone_number": "304-366-3830",
            "fax_number": "304-366-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "CHERYL",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "853-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9927631",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "001719073",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA FUNDS",
            "identifier": "0867551",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149347000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misti Elizabeth Valentine, PTA
• Tammy Valentine
• Ja Nean Antoinette Valentino
• Valeo Medical PLLC
• Valley Health Care Systems
• Amanda Vance, OTR/L
• Katrina Michelle Vance, MSW
• Stephanie Cheyenne Vance, MA
• Brenda Vandergrift
• Jill Vandergrift

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.