Individual provider Active NPI

Joseph Audia, O.D.

  • Optometrist
  • Salem, WV
National Provider Identifier
1679535777
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0781-OD Issued in WV
Practice address
2403 W Main St
Salem, WV 26426-7523
Phone
(304) 782-1005
Fax
(304) 782-3303
NPI assigned
Apr 4, 2006
Last updated
Apr 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0781-OD WV Primary

Addresses

Primary practice location

2403 W Main St
Salem, WV 26426-7523

Mailing address

2403 W Main St
Salem, WV 26426-7523
Phone (304) 782-1005

Other identifiers 1

IdentifierTypeStateIssuer
0150813000MedicaidWV

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
I20090615000131 WV Practitioner - Optometry 2567512585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2403 W Main St
Salem, WV 26426-7523
Phone (304) 782-1005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0781-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Audia, OD Optometrist CurrentSince Dec 19, 2002 Accepting new patients

Locations

2403 W Main St
Salem, WV 26426
Phone (304) 782-1005

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1679535777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 W MAIN ST",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264267523",
            "telephone_number": "304-782-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 W MAIN ST",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264267523",
            "telephone_number": "304-782-1005",
            "fax_number": "304-782-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDIA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "0781-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150813000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WV

Sources for this page

Verify at the official NPI Registry.