Active NPI
Dr. Kress Eyecare Associates, PLLC
- Optometrist
- Bridgeport, WV
National Provider Identifier
1942353891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DR. KRESS EYECARE ASSOCIATES, PLLC
- Practice address
- 920 W Main St
Bridgeport, WV 26330-1651 - Phone
- (304) 842-4444
- Fax
- (304) 842-4491
- NPI assigned
- Jan 22, 2007
- 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. Theodore D Kress
- Title
- Owner
- Phone
- (304) 842-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
920 W Main St
Bridgeport, WV 26330-1651
Mailing address
920 W Main St
Bridgeport, WV 26330-1651
Phone (304) 842-4444
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000412000 | Medicaid | WV | |
| 001994596 | Other | WV | BCBS |
| 1314480002 | Other | WV | CIGNA GOVERNMENT SERVICES |
| 1314480002 | Other | WV | DMERC |
| 1942353891 | Other | WV | NPI |
| CG7036 | Other | WV | RAILROAD |
National Provider Directory
National Provider DirectoryLocations
85 W Main St
Buckhannon, WV 26201
Phone (304) 472-1235
1295 N Lewis St
Glenville, WV 26351
Phone (304) 462-7766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424217600000",
"number": "1942353891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 W MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301651",
"telephone_number": "304-842-4444",
"fax_number": "304-842-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301651",
"telephone_number": "304-842-4444",
"fax_number": "304-842-4491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. KRESS EYECARE ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2015-02-18",
"status": "A",
"authorized_official_last_name": "KRESS",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-842-4444",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4000412000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001994596",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SERVICES",
"identifier": "1314480002",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "1314480002",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1942353891",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "CG7036",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.