Organization Active NPI

Dr. Kress Eyecare Associates, PLLC

  • Optometrist
  • Buckhannon, WV
National Provider Identifier
1841343779
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. KRESS EYECARE ASSOCIATES, PLLC
Practice address
100 W Main St
Suite a
Buckhannon, WV 26201-2237
Phone
(304) 472-1235
Fax
(304) 472-1245
NPI assigned
Jan 22, 2007
Last updated
Jul 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Dr. Theodore D Kress
Title
Owner
Phone
(304) 472-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 W Main St
Suite a
Buckhannon, WV 26201-2237

Mailing address

100 W Main St
Suite a
Buckhannon, WV 26201-2237
Phone (304) 472-1235

Other identifiers 3

IdentifierTypeStateIssuer
001710926OtherWVBCBS
4000412001MedicaidWV
DD7301OtherWVRAILROAD

National Provider Directory

National Provider Directory

Locations

1295 N Lewis St
Glenville, WV 26351
Phone (304) 462-7766

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1841343779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "address_2": "SUITE A",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012237",
            "telephone_number": "304-472-1235",
            "fax_number": "304-472-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "address_2": "SUITE A",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012237",
            "telephone_number": "304-472-1235",
            "fax_number": "304-472-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KRESS EYECARE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "KRESS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-472-1235",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001710926",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000412001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DD7301",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.