Mountain State Vision Care Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOUNTAIN STATE VISION CARE PROFESSIONAL CORPORATION

Practice address

400 Three Springs Drive
Weirton, WV 26062

Phone

(304) 723-4222

Fax

(304) 723-4222

NPI assigned

Jan 4, 2019

Organization subpart

No

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

Authorized official

Name

Austin G White, O.D.

Title

Owner/Optometrist

Phone

(304) 663-1283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1922571645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WINGATE DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15205",
            "telephone_number": "304-723-4222",
            "fax_number": "304-723-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 THREE SPRINGS DRIVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-723-4222",
            "fax_number": "304-723-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN STATE VISION CARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "304-663-1283",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Moore
• Samuel A Morrill
• Alisa Mosca
• Tia Marie Mossgrove
• Mountain State Counseling and Behavioral Health Services
• Ahmed Mowafy, MD
• Erin Myers, FNP-BC
• Jacob L Myers, DPT
• Nardone Chiropractic,North,PLLC
• Matthew Allen Nardone, DC

• Optometrist in Weirton, WV
• Providers in Weirton, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.