Maxwell Eyecare Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

866D Issued in WV

Legal business name

MAXWELL EYECARE CENTER, INC

Practice address

130 Goff Mountain Rd
Suite 12
Cross Lanes, WV 25313-1419

Phone

(304) 776-5594

Fax

(304) 776-3521

NPI assigned

May 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hilda J Maxwell, ODNPI 1730215021

Title

President, Owner, OD

Phone

(304) 776-5594

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HILDA J. MAXWELL, OD Other name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hilda J Maxwell, OD

  • Optometrist
  • Hurricane, WV
  • NPI 1730215021
  Medicare reassignment Authorized official
• Becky Ann Dempsey, FNP-BC

  • Family Nurse Practitioner
  • Nitro, WV
  • NPI 1417086166
  NPD (past)
• Mark L Douglas, DO

  • Internal Medicine Physician
  • Cross Lanes, WV
  • NPI 1306974464
  NPD (past)

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700094976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GOFF MOUNTAIN RD",
            "address_2": "SUITE 12",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131419",
            "telephone_number": "304-776-5594",
            "fax_number": "304-776-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GOFF MOUNTAIN RD",
            "address_2": "SUITE 12",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131419",
            "telephone_number": "304-776-5594",
            "fax_number": "304-776-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL EYECARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, OWNER, OD",
        "authorized_official_telephone_number": "304-776-5594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "866D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "001710665",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "001722058",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILDA J. MAXWELL, OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark S. Calfee, DC
• Alexandria Ann Marshall
• Mahogany Shavonne Martin
• Kylee Martinez
• Krystle Mason
• Nancy J McCallister
• Lorinda Sue McClain
• Julie Lynn McDougle, PHARMD
• Brenna McGraw
• Jerry Wayne Meadows

• Optometrist in Cross Lanes, WV
• Providers in Cross Lanes, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.