Individual provider Active NPI

McKenzie Vandyke Bright, OD

  • Optometrist
  • Princeton, WV
National Provider Identifier
1851901813
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2074-IOD1 Issued in WV
Practice address
324 Oakvale Rd Ste 100
Princeton, WV 24740-3829
Phone
(304) 425-2444
Fax
(304) 425-2446
NPI assigned
Aug 5, 2020
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2074-IOD1 WV Primary

Addresses

Primary practice location

324 Oakvale Rd Ste 100
Princeton, WV 24740-3829

Mailing address

324 Oakvale Rd Ste 100
Princeton, WV 24740-3829
Phone (304) 425-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200903003576 WV Practitioner - Optometry 0941627954 Reassigns benefits to 1 organization
I20210309001258 VA Practitioner - Optometry 0941627954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Eye Care IncGroup PAC ID 1951588730, 6 clinicians

Practice addresses (Care Compare)

324 Oakvale Rd
Suite 100
Princeton, WV 24740-3829
Phone (304) 425-2444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Eye Care Inc Optometrist CurrentSince Aug 5, 2020 Accepting new patients
New River Eye Care Family Optometry PC Optometrist CurrentSince Jan 27, 2021 Accepting new patients
Vistar Eye Center, Inc Optometrist PastSince Aug 5, 2020 Accepting new patients

Locations

206 Kinter Way
Pearisburg, VA 24134
Phone (540) 921-4116

Interoperability endpoints

  • Direct secure messaging: mvandyke@appalachianeyecare.eyefinity-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1851901813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD STE 100",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "304-425-2444",
            "fax_number": "304-425-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD STE 100",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "304-425-2444",
            "fax_number": "304-425-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE BRIGHT",
        "first_name": "MCKENZIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2074-IOD1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.