Active NPI
Regional Eye Associates, Inc.
- Ophthalmology Physician
- Fairmont, WV
National Provider Identifier
1891965406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- REGIONAL EYE ASSOCIATES, INC.
- Practice address
- 1 Physicians PLZ
Fairmont, WV 26554-1470 - Phone
- (304) 366-7947
- Fax
- (304) 599-7346
- NPI assigned
- Mar 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen R Powell, M.D.
- Title
- President
- Phone
- (304) 598-3301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1 Physicians PLZ
Fairmont, WV 26554-1470
Mailing address
1255 Pineview Drive
Morgantown, WV 26505-2713
Phone (304) 598-3301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007123000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040211001115 | WV | Part B Supplier - Clinic/Group Practice | 1456255876 |
Receives reassigned benefits from 18 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bridgeport, WV; Morgantown, WV; Weston, WV |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1 Physicians Plz
Fairmont, WV 26554
Phone (304) 366-7947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1891965406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 PINEVIEW DRIVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052713",
"telephone_number": "304-598-3301",
"fax_number": "304-599-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PHYSICIANS PLZ",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541470",
"telephone_number": "304-366-7947",
"fax_number": "304-599-7346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL EYE ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-598-3301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007123000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.