Active NPI
S. Glenn Bailey O.D., Inc.
- Optometrist
- Barboursville, WV
National Provider Identifier
1831236827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 717-OD
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150705001 | Medicaid | WV |
Other names 1
- Bailey Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2051844 | Bailey Eye Care | Certificate of waiver | Dec 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
5167 US Route 60
Barboursville, WV 25504
Phone (304) 733-0809
Interoperability endpoints
- brycepeek@baileyeyecare.eyefinity-direct.com
- drepling@baileyeyecare.eyefinity-direct.com
- drcampbell@baileyeyecare.eyefinity-direct.com
- 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.
-
- Optometrist
- Barboursville, WV
- NPI 1184675746
-
- Optometrist
- Barboursville, WV
- NPI 1881268563
-
- Optometrist
- Charleston, WV
- NPI 1477130821
-
- Optometrist
- Barboursville, WV
- NPI 1306253166
-
- Optometrist
- South Charleston, WV
- NPI 1063403459
-
- Optometrist
- South Charleston, WV
- NPI 1134110851
-
- Optometrist
- Mooresville, NC
- NPI 1194336214
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.