Active NPI
Kelli McCartney O.D. PC
- Optometrist
- Bridgeport, WV
National Provider Identifier
1801158571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1077OD
- Legal business name
- KELLI MCCARTNEY O.D. PC
- Practice address
- 2580 Meadowbrook Mall
Bridgeport, WV 26330-9792 - Phone
- (304) 842-5544
- NPI assigned
- Jun 8, 2012
- 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
- Dr. Kelli McCartney, O.D.
- Title
- President
- Phone
- (304) 842-5544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1077OD | WV | Primary |
Addresses
Primary practice location
2580 Meadowbrook Mall
Bridgeport, WV 26330-9792
Mailing address
1476 Lawrence St
Fairmont, WV 26554-2355
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Manning, SC
- NPI 1811201692
-
- Optometrist
- Toledo, OH
- NPI 1598052896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339718400000",
"number": "1801158571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1476 LAWRENCE ST",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 MEADOWBROOK MALL",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309792",
"telephone_number": "304-842-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLI MCCARTNEY O.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-15",
"status": "A",
"authorized_official_last_name": "MCCARTNEY",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-842-5544",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WV",
"license": "1077OD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.