Wayne Dougherty Dba Wheeling Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0507000045 Issued in WV

Legal business name

WAYNE DOUGHERTY DBA WHEELING OPTICAL

Practice address

1101 Market Street
Wheeling, WV 26003-2905

Phone

(304) 232-6501

Fax

(304) 232-6502

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Wayne Dougherty

Title

Owner Optician

Phone

(304) 232-6501

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1871763862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MARKET STREET",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032905",
            "telephone_number": "304-232-6501",
            "fax_number": "304-232-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MARKET STREET",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032905",
            "telephone_number": "304-232-6501",
            "fax_number": "304-232-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE DOUGHERTY DBA WHEELING OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER OPTICIAN",
        "authorized_official_telephone_number": "304-232-6501"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "WV",
            "license": "05 7 00045",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WV",
            "license": "0507000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151762000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Watkins
• Brianna Nicole Watson, LPCC-S
• Jessica Marie Watt Dougherty, LPC, ALPS, NCC
• Chelsea Nicole Waugh
• Shelby Way, DPT
• Wayne E. Groux, M.D., PLLC
• Billie Wayt
• Jennifer L Webster
• Marimar Weeks, NP
• Rachell Weeks

• Eyewear Supplier in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Eyewear Supplier in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.