Individual provider Active NPI

Michael P Kucher, OD

  • Optometrist
  • Weirton, WV
National Provider Identifier
1831203884
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
703OD Issued in WV
Practice address
241 Three Springs Dr Ste 14
Weirton, WV 26062-3866
Phone
(304) 748-2055
Fax
(304) 748-2054
NPI assigned
Aug 18, 2006
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001175 PA
Optometrist 152W00000X 703OD WV Primary

Addresses

Primary practice location

241 Three Springs Dr Ste 14
Weirton, WV 26062-3866

Mailing address

126 Old Quarry Rd
Clinton, PA 15026-1546
Phone (304) 748-2055

Other identifiers 1

IdentifierTypeStateIssuer
015061800MedicaidWV

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
I20100929000784 WV Practitioner - Optometry 9830215698 Receives reassigned benefits from 1 practitioner
Practice locations: Weirton, WV

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

241 Three Springs Dr
Suite 14
Weirton, WV 26062-3866
Phone (304) 748-2055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001175PAMDOptometrist
703ODWVMDOptometrist
703WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Kucher Optometrist CurrentSince Jan 1, 1990 Accepting new patients

Locations

241 Three Springs Dr
Ste 14
Weirton, WV 26062
Phone (304) 748-2055

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1831203884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 OLD QUARRY RD",
            "city": "CLINTON",
            "state": "PA",
            "postal_code": "150261546",
            "telephone_number": "304-748-2055",
            "fax_number": "304-748-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 THREE SPRINGS DR STE 14",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623866",
            "telephone_number": "304-748-2055",
            "fax_number": "304-748-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHER",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001175",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "703OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015061800",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.