Active NPI
The Eye Center of Greenbrier Valley
- Eyewear Supplier
- Ronceverte, WV
National Provider Identifier
1831161322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- F25588
- Legal business name
- THE EYE CENTER OF GREENBRIER VALLEY
- Practice address
- 101 Davis Stuart Rd
Ronceverte, WV 24970-9549 - Phone
- (304) 793-3937
- Fax
- (304) 793-2203
- NPI assigned
- Feb 7, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Philip N Light, MD
- Title
- Ceo
- Phone
- (304) 793-3937
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Ronceverte, WV
- NPI 1851531297
National Provider Directory
National Provider DirectoryLocations
3942 Davis Stuart Rd
Ronceverte, WV 24970
Phone (304) 647-3987
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | F25588 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
101 Davis Stuart Rd
Ronceverte, WV 24970-9549
Mailing address
101 Davis Stuart Rd
Ronceverte, WV 24970-9549
Phone (304) 793-3937
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0095836003 | Medicaid | WV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2008.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1831161322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DAVIS STUART RD",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249709549",
"telephone_number": "304-793-3937",
"fax_number": "304-793-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DAVIS STUART RD",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249709549",
"telephone_number": "304-793-3937",
"fax_number": "304-793-2203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYE CENTER OF GREENBRIER VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-07",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "LIGHT",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-793-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "WV",
"license": "F25588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0095836003",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ronceverte, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.