Joseph Audia, OD
Organization Active NPI Optometrist · Salem, WV
NPI 1861685281 · NPPES record last updated Jan 28, 2011
Key facts
- NPI
- 1861685281
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 0781-OD (WV)
- Legal business name
- JOSEPH AUDIA, OD
- Practice address
- RT 1 Box 75-4
Salem, WV 26426 - Phone
- (304) 782-1005
- Fax
- (304) 782-3303
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Audia, O.D.
- Title
- Optometrist/Owner
- Phone
- (304) 782-1005
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Joseph Audia, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090615000144 | WV | Part B Supplier - Clinic/Group Practice | 1355491374 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Harrisville, WV; Salem, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 0781-OD | WV | Yes |
Addresses
Primary practice location
RT 1 Box 75-4
Salem, WV 26426
Mailing address
RT 1 Box 75-4
Salem, WV 26426
Phone (304) 782-1005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015081300 | Medicaid | WV |
Other providers in Salem, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.