Individual provider Active NPI

Edward E Happe, O.D

  • Optometrist
  • Moundsville, WV
National Provider Identifier
1740393727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
824-D Issued in WV
Practice address
240 Lafayette Ave
Moundsville, WV 26041-1001
Phone
(304) 843-1532
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 824-D WV Primary

Addresses

Primary practice location

240 Lafayette Ave
Moundsville, WV 26041-1001

Mailing address

505 Deerfield Rd
Washington, PA 15301-9109
Phone (724) 344-1915

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
I20050621000678 WV Practitioner - Optometry 6709821721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pockl-Dormas PCGroup PAC ID 5799875415, 4 clinicians

Practice addresses (Care Compare)

2106 Lumber Ave
Wheeling, WV 26003-5390
Phone (304) 242-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
824-DWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pockl-Dormas PC Optometrist CurrentSince Jun 1, 2013 Accepting new patients
Wal-Mart Stores East, LP Past Accepting new patients
West Penn Optical Inc. Past Accepting new patients
Wal-Mart Stores East LP Past Accepting new patients

Locations

2106 Lumber Ave
Wheeling, WV 26003
Phone (304) 242-5544

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740393727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DEERFIELD RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019109",
            "telephone_number": "724-344-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411001",
            "telephone_number": "304-843-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAPPE",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "824-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundsville, WV

Sources for this page

Verify at the official NPI Registry.