Organization Active NPI

Troyer Eye Care Inc

  • Optometrist
  • Lewisburg, WV
National Provider Identifier
1891044525
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1081-OD Issued in WV
Legal business name
TROYER EYE CARE INC
Practice address
213 Gateway Blvd
Ste 4
Lewisburg, WV 24901-1174
Phone
(304) 645-7797
Fax
(304) 645-9086
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dr. Jeremiah Troyer, O.D.NPI 1154633113
Title
President
Phone
(304) 645-7797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1081-OD WV Primary

Addresses

Primary practice location

213 Gateway Blvd
Ste 4
Lewisburg, WV 24901-1174

Mailing address

213 Gateway Blvd
Ste 4
Lewisburg, WV 24901-1174
Phone (304) 645-7797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121211000150 WV Part B Supplier - Clinic/Group Practice 4082866454 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisburg, WV

National Provider Directory

National Provider Directory

Locations

213 Gateway Blvd
Ste 4
Lewisburg, WV 24901
Phone (304) 645-7797

170 Grand Ave
Lewisburg, WV 24901
Phone (304) 645-7797

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1891044525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GATEWAY BLVD",
            "address_2": "STE 4",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011174",
            "telephone_number": "304-645-7797",
            "fax_number": "304-645-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 GATEWAY BLVD",
            "address_2": "STE 4",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011174",
            "telephone_number": "304-645-7797",
            "fax_number": "304-645-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROYER EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-645-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1081-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.