Active NPI
Optometric Physicians of Parkersburg Inc
- Corneal and Contact Management Optometrist
- Parkersburg, WV
National Provider Identifier
1659459592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- Legal business name
- OPTOMETRIC PHYSICIANS OF PARKERSBURG INC
- Practice address
- 416 Division St
Parkersburg, WV 26101-5619 - Phone
- (304) 485-7485
- Fax
- (304) 485-5410
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patty R Reynolds
- Title
- Business Manager
- Phone
- (304) 485-7588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | Primary |
Addresses
Primary practice location
416 Division St
Parkersburg, WV 26101-5619
Mailing address
416 Division St
Parkersburg, WV 26101-5619
Phone (304) 485-7485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2070622 | Optometric Physicians of Parkersburg Inc | Certificate of waiver | Dec 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
416 Division St
Parkersburg, WV 26101
Phone (304) 485-7485
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Parkersburg, WV
- NPI 1376508549
-
- Ophthalmology Physician
- Parkersburg, WV
- NPI 1912914201
-
- Corneal and Contact Management Optometrist
- Parkersburg, WV
- NPI 1609831874
-
- Corneal and Contact Management Optometrist
- Williamstown, WV
- NPI 1801851316
-
- Corneal and Contact Management Optometrist
- Belchertown, MA
- NPI 1750346300
WV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1659459592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 DIVISION ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015619",
"telephone_number": "304-485-7485",
"fax_number": "304-485-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 DIVISION ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015619",
"telephone_number": "304-485-7485",
"fax_number": "304-485-5410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTOMETRIC PHYSICIANS OF PARKERSBURG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "PATTY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "304-485-7588"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.