William Conrad Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

WV 1053-OD Issued in WV

Legal business name

WILLIAM CONRAD INC.

Practice address

154 Oak View LN
New Creek, WV 26743-4544

Phone

(304) 790-9344

Fax

(304) 788-7760

NPI assigned

Aug 29, 2012

Last updated

Mar 23, 2016By 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

Dr. William Benjamin Conrad, O.D.NPI 1548425838

Title

President

Phone

(304) 790-9344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

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.

• William Benjamin Conrad, O.D.

  • Optometrist
  • Keyser, WV
  • NPI 1548425838
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1831447499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 OAK VIEW LN",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "267434544",
            "telephone_number": "304-790-9344",
            "fax_number": "304-788-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 OAK VIEW LN",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "267434544",
            "telephone_number": "304-790-9344",
            "fax_number": "304-788-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM CONRAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-790-9344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WV",
            "license": "WV 1053-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Taylor
• Jill Zelanko Wallace
• Philip Allan Warnick
• Donna Kay Whisner
• Brooke White
• Haylea Marie Wilson

• Primary Care Clinic/Center in New Creek, WV
• Providers in New Creek, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.