Individual provider Active NPI

Jordan Leigh Hamric, OD

  • Optometrist
  • Morgantown, WV
National Provider Identifier
1770010738
Registry record updated May 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2031-IOD Issued in WV
Practice address
499 High St
Morgantown, WV 26505-5516
Phone
(304) 296-2540
NPI assigned
May 21, 2017
Last updated
May 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2031-IOD WV Primary

Addresses

Primary practice location

499 High St
Morgantown, WV 26505-5516

Mailing address

246 Laurel Run Rd
Bruceton Mills, WV 26525-5460
Phone (304) 288-8638

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
I20171024003550 WV Practitioner - Optometry 3173899853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Optical PLLCGroup PAC ID 2668415589, 6 clinicians

Practice addresses (Care Compare)

1257 Pineview Dr
Morgantown, WV 26505-2738
Phone (304) 599-7034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Optical PLLC Optometrist CurrentSince Jan 2, 2019 Accepting new patients

Locations

1257 Pineview Dr
Morgantown, WV 26505
Phone (304) 296-2020

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, 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": "1495324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495324800000",
    "number": "1770010738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 LAUREL RUN RD",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265255460",
            "telephone_number": "304-288-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 HIGH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055516",
            "telephone_number": "304-296-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRIC",
        "first_name": "JORDAN",
        "middle_name": "LEIGH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-21",
        "last_updated": "2017-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2031-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.