Organization Active NPI

Ohio Valley Eye Physicians & Surgeons PLLC

  • Specialist
  • Belpre, OH
National Provider Identifier
1710917844
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OHIO VALLEY EYE PHYSICIANS & SURGEONS PLLC
Practice address
1933 Washington Blvd
Belpre, OH 45714-2041
Phone
(304) 428-3500
Fax
(304) 422-7900
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
David Spencer George, MD
Title
Partner
Phone
(304) 428-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1933 Washington Blvd
Belpre, OH 45714-2041

Mailing address

418 Grand Park Dr
Suite 315
Parkersburg, WV 26105-4000
Phone (304) 428-3500

Other identifiers 3

IdentifierTypeStateIssuer
0008970-000MedicaidWV
2797808MedicaidOH
000449568OtherMOUNTAIN STATE BLUE CROSS

Other names 1

  • The Eye MDs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000037 OH Part B Supplier - Clinic/Group Practice 2668404385 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belpre, OH; Marietta, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1710917844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 GRAND PARK DR",
            "address_2": "SUITE 315",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054000",
            "telephone_number": "304-428-3500",
            "fax_number": "304-422-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 WASHINGTON BLVD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142041",
            "telephone_number": "304-428-3500",
            "fax_number": "304-422-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY EYE PHYSICIANS & SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-428-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008970-000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2797808",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE CROSS",
            "identifier": "000449568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye MDs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.