Mobile Vision, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOBILE VISION, INC

Practice address

1650 Woodvale Dr
Charleston, WV 25314-2547

Phone

(304) 346-8800

NPI assigned

Feb 12, 2007

Last updated

May 22, 2009By 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

Marlene B. Mowery, O.D.NPI 1831139419

Title

President

Phone

(304) 346-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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.

• Marlene B Mowery, OD

  • Optometrist
  • Charleston, WV
  • NPI 1831139419
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1841332640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 WOODVALE DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 WOODVALE DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142547",
            "telephone_number": "304-346-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "MOWERY",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-346-8800",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149311000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian L Mittchell
• Chase Alan Mitton
• Andrea Moats
• Eric Moats, CLINICAL COUNSELOR
• Mobile Audiology of West Virginia PLLC
• Moderneyes, PLLC (Charleston Vision Source)
• Logan Moffitt
• Paige E. Moffitt, FNP-BC
• Ahmed Mohamed, MD
• Puja Mohan

• Optometrist in Charleston, WV
• Providers in Charleston, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.