Individual provider Active NPI

Arnold P Tanguilig, O.D.

  • Optometrist
  • Huntington, WV
National Provider Identifier
1891725099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WV- 921-OD Issued in WV
Practice address
3333 US Route 60
Huntington, WV 25705-2838
Phone
(304) 522-2551
Fax
(304) 522-2544
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WV- 921-OD WV Primary

Addresses

Primary practice location

3333 US Route 60
Huntington, WV 25705-2838

Mailing address

3333 US Route 60
Huntington, WV 25705-2838
Phone (304) 522-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000690 WV Practitioner - Optometry 9335177187 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WV- 921-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proeyes Optometry, PLLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Proeyes Vision Care PLLC Optometrist Current Accepting new patients

Locations

25 Nichols Dr
Barboursville, WV 25504
Phone (304) 522-2551

1406 US Route 60
Huntington, WV 25705
Phone (304) 522-2551

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891725099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052838",
            "telephone_number": "304-522-2551",
            "fax_number": "304-522-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052838",
            "telephone_number": "304-522-2551",
            "fax_number": "304-522-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUILIG",
        "first_name": "ARNOLD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV- 921-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.