Organization Active NPI

Harold Rose OD

Doing business as Valley Optometry Group

  • Optometrist
  • Huntington, WV
National Provider Identifier
1740362524
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
480-D Issued in WV
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0149604000MedicaidWV

Other names 1

  • Valley Optometry Group Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.