Beckley Vision Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

817-OD Issued in WV

Legal business name

BECKLEY VISION CENTER, PLLC

Practice address

1928 Harper Rd
Beckley, WV 25801-2612

Phone

(304) 252-1299

Fax

(304) 253-4079

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Holliday, ODNPI 1457304701

Title

Partner

Phone

(304) 252-1299

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Edward Holliday, OD

  • Optometrist
  • Beckley, WV
  • NPI 1457304701
  Medicare reassignment NPD Authorized official
• David Ross Holliday, OD

  • Optometrist
  • Beckley, WV
  • NPI 1881647113
  Medicare reassignment NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1740323625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012612",
            "telephone_number": "304-252-1299",
            "fax_number": "304-253-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012612",
            "telephone_number": "304-252-1299",
            "fax_number": "304-253-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLEY VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-252-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "817-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006176",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beckley V AMC
• Beckley Vamc
• Beckley Vamc
• Beckley Vamc
• Beckley Vascular Associates PLLC
• Beckley-Raleigh County Board of Health
• Beckley-Uha
• Amir George Bekhit, RP
• Michelle Beland
• Candace Grace Belcher

• Optometrist in Beckley, WV
• Providers in Beckley, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.