Organization Active NPI

Martinsburg Family Eye Care, PLLC

Doing business as Martinsburg Family Eye Care

  • Optometrist
  • Martinsburg, WV
National Provider Identifier
1962975045
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARTINSBURG FAMILY EYE CARE, PLLC
Doing business as
Martinsburg Family Eye Care
Practice address
55 Meridian Pkwy Ste 105
Martinsburg, WV 25404-5422
Phone
(304) 231-6599
NPI assigned
Jan 10, 2019
Last updated
Jan 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Dr. Troy Mysliwiec, O.D.NPI 1255743613
Title
President
Phone
(304) 231-6599

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

55 Meridian Pkwy Ste 105
Martinsburg, WV 25404-5422

Mailing address

55 Meridian Pkwy Ste 105
Martinsburg, WV 25404-5422
Phone (304) 231-6599

Other names 1

  • Martinsburg Family Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190320002099 WV Part B Supplier - Clinic/Group Practice 6305186834 Receives reassigned benefits from 1 practitioner
Practice locations: Martinsburg, WV

National Provider Directory

National Provider Directory

Locations

55 Meridian Pkwy
Ste 105
Martinsburg, WV 25404
Phone (304) 231-6599

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": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1962975045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERIDIAN PKWY STE 105",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045422",
            "telephone_number": "304-231-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERIDIAN PKWY STE 105",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045422",
            "telephone_number": "304-231-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSBURG FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "MYSLIWIEC",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-231-6599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martinsburg Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.