Organization Active NPI

Dr. Kress Eyecare Associates, PLLC

  • Optometrist
  • Bridgeport, WV
National Provider Identifier
1942353891
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Feb 18, 2015

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4000412000MedicaidWV
001994596OtherWVBCBS
1314480002OtherWVCIGNA GOVERNMENT SERVICES
1314480002OtherWVDMERC
1942353891OtherWVNPI
CG7036OtherWVRAILROAD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.