Individual provider Active NPI

Rex Allen Cummings, OD

  • Optometrist
  • Ravenswood, WV
National Provider Identifier
1730257809
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0679D Issued in WV
Practice address
105 Royal St
Ravenswood, WV 26164-1725
Phone
(304) 273-5333
Fax
(304) 273-5334
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0679D WV Primary

Addresses

Primary practice location

105 Royal St
Ravenswood, WV 26164-1725

Mailing address

105 Royal St
Ravenswood, WV 26164-1725
Phone (304) 273-5333

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
I20060109000480 WV Practitioner - Optometry 0941223606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 Royal St
Ravenswood, WV 26164-1725
Phone (304) 512-5507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0679DWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Allen Cummings Inc Optometrist CurrentSince Dec 1, 1993 Accepting new patients

Locations

105 Royal St
Ravenswood, WV 26164
Phone (304) 273-5333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1730257809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROYAL ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641725",
            "telephone_number": "304-273-5333",
            "fax_number": "304-273-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROYAL ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641725",
            "telephone_number": "304-273-5333",
            "fax_number": "304-273-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "REX",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "0679D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenswood, WV

Sources for this page

Verify at the official NPI Registry.