Family Eyecare Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

867-OD Issued in WV

Legal business name

FAMILY EYECARE CENTER

Practice address

1500 Harrison Ave
Elkins, WV 26241-3327

Phone

(304) 636-9111

Fax

(614) 923-9575

NPI assigned

Dec 15, 2006

Last updated

Apr 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy L. Tingler

Title

Billing Clerk

Phone

(304) 636-9111

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Clifton Hyre, O.D.

  • Optometrist
  • Elkins, WV
  • NPI 1992795835
  Medicare reassignment NPD
• Edward Clifton Hyre, O.D.

  • Optometrist
  • Elkins, WV
  • NPI 1447240205
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1821150970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413327",
            "telephone_number": "304-636-9111",
            "fax_number": "614-923-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413327",
            "telephone_number": "304-636-9111",
            "fax_number": "614-923-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "TINGLER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "304-636-9111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "867-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1821150970",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149464000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006295",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150280000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CRAIG C. HYRE",
            "identifier": "1992795835",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI EDWARD CLIFTON HYRE",
            "identifier": "1447240205",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Works PLLC
• Eye Works PLLC
• David W. Facello, DO
• Mohamed M Fahim, M.D.
• Chelsie Fair
• Muhammad Mohsin Fareed, M.D
• Cameron Farley, PA-C
• Anne Randolph Farmer, M ED
• Sarah T Farr
• Barbra Fasig

• Optometrist in Elkins, WV
• Providers in Elkins, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.