Active NPI
Michael R Looper, OD
- Optometrist
- Morgantown, WV
National Provider Identifier
1891782629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 727-D
- Practice address
- 827 Fairmont Rd
Suite 105
Morgantown, WV 26501-3857 - Phone
- (304) 296-3333
- Fax
- (304) 296-2220
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 727-D | WV | Primary |
Addresses
Primary practice location
827 Fairmont Rd
Suite 105
Morgantown, WV 26501-3857
Mailing address
827 Fairmont Rd
Suite 105
Morgantown, WV 26501-3857
Phone (304) 296-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150975000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 727-D | WV | MD | Optometrist |
| 727 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Sharps and Looper of Fairmont PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Preferred Provider Organization
- White Hall, WV
- NPI 1184879660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1891782629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 FAIRMONT RD",
"address_2": "SUITE 105",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265013857",
"telephone_number": "304-296-3333",
"fax_number": "304-296-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 FAIRMONT RD",
"address_2": "SUITE 105",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265013857",
"telephone_number": "304-296-3333",
"fax_number": "304-296-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOPER",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "727-D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150975000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.