Jill Kristine Showalter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

939-OD Issued in WV

Practice address

1500 Grand Central Ave
Suite 112
Vienna, WV 26105-1079

Phone

(304) 295-5025

Fax

(304) 295-7178

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jill Kristine Ritchie Former name

Electronic endpoints 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

Specialty

Optometry

Education

Southern College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eyedoctors PLLCGroup PAC ID 3274708003, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

14.89 of 100Reported as individual

Quality

29.78

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 1257@eyedoctorviennawv.emadirect.md

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.

• Family Eyedoctors PLLC

  • Optometrist
  • Vienna, WV
  • NPI 1538468764
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. T. Shawn Stephens

  • Optometrist
  • Vienna, WV
  • NPI 1225219611
  NPD (past)
• First Settlement Physical Therapy

  • Physical Therapist
  • South Charleston, WV
  • NPI 1346653557
  NPD (past)
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1821049305
  NPD (past)
• M F Anwar MD Inc

  • Optometrist
  • Parkersburg, WV
  • NPI 1013943653
  NPD (past)
• M F Anwar MD Inc

  • Optometrist
  • Keyser, WV
  • NPI 1598794059
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1659424877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE",
            "address_2": "SUITE 112",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-295-5025",
            "fax_number": "304-295-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE",
            "address_2": "SUITE 112",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-295-5025",
            "fax_number": "304-295-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "JILL",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4683 T1458",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "939-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006845",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1257@eyedoctorviennawv.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Family EyeDoctors PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Grand Central Ave",
            "address_2": "Suite 112",
            "city": "Vienna",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261051079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "RITCHIE",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adriana D Sevy, PA-C
• Parul Shah
• Dylan Shell
• Morgan Sherman
• Sandra Kathryn Shockey, APRN (C/NP)
• Michael Shramowiat, LLC
• Kevin Shrewsbury, DPT
• Kristen Simers
• Hazel Levina Simmons
• Kaitlyn Simmons

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.