Active NPI
Michelle Webb
- Optician
- Charleston, WV
National Provider Identifier
1659795136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 1306 Kanawha Blvd E
Charleston, WV 25301-3001 - Phone
- (304) 982-8268
- Fax
- (304) 345-1801
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1306 Kanawha Blvd E
Charleston, WV 25301-3001
Mailing address
1306 Kanawha Blvd E
Charleston, WV 25301-3001
Phone (304) 982-8268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810025879 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1659795136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 KANAWHA BLVD E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253013001",
"telephone_number": "304-982-8268",
"fax_number": "304-345-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 KANAWHA BLVD E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253013001",
"telephone_number": "304-982-8268",
"fax_number": "304-345-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810025879",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.