Krista N Adams, O.D. – Optometrist in Ronceverte, WV

Key facts

NPI: 1851531297
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: 1054OD (WV)
Practice address: 3942 Davis Stuart Rd
Ronceverte, WV 24970-0260
Phone: (304) 793-3937
Fax: (304) 793-2203
NPI assigned: Feb 25, 2009
Sex: Female
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Blink, Inc. Optometrist · Ronceverte, WV · NPI 1245717065

Medicare reassignment Authorized official WV
Blink, Inc. Eyewear Supplier · Ronceverte, WV · NPI 1871072066

NPD Authorized official
The Eye Center of Greenbrier Valley Eyewear Supplier · Ronceverte, WV · NPI 1831161322

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Camc Greenbrier Valley Medical Center Inc General Acute Care Hospital · Ronceverte, WV · NPI 1679299408

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Optometry
Education: Pennsylvania College of Optometry, 2007
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3942 Davis Stuart Rd
Suite 1
Ronceverte, WV 24970-0269
Phone (304) 793-3937

Hospital & facility affiliations

Camc Greenbrier Valley Medical Center, Inc Hospital · Ronceverte, WV · CCN 510002

Merit-based Incentive Payment System (MIPS)

Final score: 100 of 100 (group)
Quality: 100
Improvement activities: 40

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WV
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20090522000015	WV	Practitioner - Optometry	7113076126	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1054OD	WV	MD	Optometrist

Practice roles

Organization	Specialty	Status	New patients
Blink, Inc.		Current since Aug 1, 2018	Accepting new patients
The Eye Center of Greenbrier Valley		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	1054OD	WV	Yes

Addresses

Primary practice location

3942 Davis Stuart Rd
Ronceverte, WV 24970-0260

Mailing address

3942 Davis Stuart Rd
Ronceverte, WV 24970-0260
Phone (304) 793-3937

Other identifiers

Identifier	Type	State	Issuer
1054OD	Other	WV	WVBO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 20, 2017.

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1851531297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 DAVIS STUART RD",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249700260",
            "telephone_number": "304-793-3937",
            "fax_number": "304-793-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 DAVIS STUART RD",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249700260",
            "telephone_number": "304-793-3937",
            "fax_number": "304-793-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KRISTA",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1054OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVBO",
            "identifier": "1054OD",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

All providers in Ronceverte, WV · Optometrist in West Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.