Active NPI
Harold Rose OD
Doing business as Valley Optometry Group
- Optometrist
- Huntington, WV
National Provider Identifier
1740362524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 480-D
- Legal business name
- HAROLD ROSE OD
- Doing business as
- Valley Optometry Group
- Practice address
- 2819 5TH Ave
Huntington, WV 25702-1435 - Phone
- (304) 523-9801
- Fax
- (304) 522-4651
- NPI assigned
- Oct 20, 2006
- Last updated
- Jan 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harold Rose, OD
- Title
- Optometrist
- Phone
- (304) 523-9801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 480-D | WV | Primary |
Addresses
Primary practice location
2819 5TH Ave
Huntington, WV 25702-1435
Mailing address
2819 5TH Ave
Huntington, WV 25702-1435
Phone (304) 523-9801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149604000 | Medicaid | WV |
Other names 1
- Valley Optometry Group
National Provider Directory
National Provider DirectoryLocations
2819 5th Ave
Huntington, WV 25702
Phone (304) 522-9411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421020800000",
"number": "1740362524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2819 5TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021435",
"telephone_number": "304-523-9801",
"fax_number": "304-522-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 5TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021435",
"telephone_number": "304-523-9801",
"fax_number": "304-522-4651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAROLD ROSE OD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2015-01-12",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "HAROLD",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "304-523-9801",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "480-D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149604000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Optometry Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.