Organization Active NPI

Abel Family Eyecare, PLLC

  • Optometrist
  • Buckhannon, WV
National Provider Identifier
1962642322
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1024-OD Issued in WV
Legal business name
ABEL FAMILY EYECARE, PLLC
Practice address
201 S Kanawha St
Buckhannon, WV 26201-2320
Phone
(304) 460-7326
Fax
(304) 460-7328
NPI assigned
Feb 25, 2009
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Burton L Abel, ODNPI 1932159555
Title
Owner
Phone
(304) 460-7326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1024-OD WV Primary

Addresses

Primary practice location

201 S Kanawha St
Buckhannon, WV 26201-2320

Mailing address

201 S Kanawha St
Buckhannon, WV 26201-2320
Phone (304) 460-7326

Other identifiers 4

IdentifierTypeStateIssuer
001772606OtherWVBCBS
3810003942MedicaidWV
616036500OtherWVDEPARTMENT OF LABOR NPI
1962642322OtherWVGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090505000055 WV Part B Supplier - Clinic/Group Practice 4587712336 Receives reassigned benefits from 1 practitioner
Practice locations: Buckhannon, WV

National Provider Directory

National Provider Directory

Locations

201 S Kanawha St
Buckhannon, WV 26201
Phone (304) 460-4326

22 N Kanawha St
Buckhannon, WV 26201
Phone (304) 460-4326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1962642322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012320",
            "telephone_number": "304-460-7326",
            "fax_number": "304-460-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012320",
            "telephone_number": "304-460-7326",
            "fax_number": "304-460-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEL FAMILY EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-460-7326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1024-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001772606",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003942",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR NPI",
            "identifier": "616036500",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1962642322",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.

Verify at the official NPI Registry.