Organization Active NPI

S. Glenn Bailey O.D., Inc.

  • Optometrist
  • Barboursville, WV
National Provider Identifier
1831236827
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
717-OD Issued in WV
Legal business name
S. GLENN BAILEY O.D., INC.
Practice address
6010 US Route 60 E
Barboursville, WV 25504-1029
Phone
(304) 733-0808
Fax
(304) 733-4234
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Stephen Glenn Bailey, O.D.
Title
President
Phone
(304) 733-0809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 717-OD WV Primary

Addresses

Primary practice location

6010 US Route 60 E
Barboursville, WV 25504-1029

Mailing address

6010 US Route 60 E
Barboursville, WV 25504-1029
Phone (304) 733-0808

Other identifiers 1

IdentifierTypeStateIssuer
0150705001MedicaidWV

Other names 1

  • Bailey Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060309000229 WV Part B Supplier - Clinic/Group Practice 3274540646 Receives reassigned benefits from 5 practitioners
Practice locations: Barboursville, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2051844Bailey Eye Care6010 US Route 60 East, Barboursville, WV 25504Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

Locations

5167 US Route 60
Barboursville, WV 25504
Phone (304) 733-0809

Interoperability endpoints

  • Direct secure messaging: brycepeek@baileyeyecare.eyefinity-direct.com
  • Direct secure messaging: drepling@baileyeyecare.eyefinity-direct.com
  • Direct secure messaging: drcampbell@baileyeyecare.eyefinity-direct.com
  • Direct secure messaging: drleoni@baileyeyecare.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1831236827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041029",
            "telephone_number": "304-733-0808",
            "fax_number": "304-733-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041029",
            "telephone_number": "304-733-0808",
            "fax_number": "304-733-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. GLENN BAILEY O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-733-0809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "717-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150705001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bailey Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.