Individual provider Active NPI

James M Fick, OD

  • Optometrist
  • Clarksburg, WV
National Provider Identifier
1942386958
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1009-OD Issued in WV
Practice address
538B Emily Dr
Clarksburg, WV 26301-5507
Phone
(304) 566-7709
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 203 AK
Optometrist 152W00000X 1009-OD WV Primary

Addresses

Primary practice location

538B Emily Dr
Clarksburg, WV 26301-5507

Mailing address

1913 Berry Run Rd
Flemington, WV 26347-6426
Phone (304) 566-7709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000516 WV Practitioner - Optometry 8729170055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fick Eyecare, IncGroup PAC ID 5193817427, 2 clinicians

Practice addresses (Care Compare)

536 Emily Dr B
Clarksburg, WV 26301-5507
Phone (304) 566-7709

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1009-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fick Eyecare, Inc Optometrist CurrentSince Jun 1, 2007 Accepting new patients
Dr Craig Liebig O D Inc Optometrist PastSince Jun 1, 2007 Accepting new patients

Locations

538 Emily Dr
#B
Clarksburg, WV 26301
Phone (304) 566-7709

536 Emily Dr
#B
Clarksburg, WV 26301
Phone (304) 556-7709

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1942386958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 BERRY RUN RD",
            "city": "FLEMINGTON",
            "state": "WV",
            "postal_code": "263476426",
            "telephone_number": "304-566-7709",
            "fax_number": "304-566-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538B EMILY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015507",
            "telephone_number": "304-566-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "203",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1009-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

Verify at the official NPI Registry.