Individual provider Active NPI

Caitlyn Haring, OD

  • Optometrist
  • Morgantown, WV
National Provider Identifier
1972157733
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2062-IOD1 Issued in WV
Practice address
730 Venture Dr
Morgantown, WV 26508-7306
Phone
(304) 292-7240
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2062-IOD1 WV Primary

Addresses

Primary practice location

730 Venture Dr
Morgantown, WV 26508-7306

Mailing address

9603 Mall Rd
Morgantown, WV 26501-8540
Phone (304) 292-7240

Other practice location 1

5605 University Town Centre Dr Ste A
Morgantown, WV 26501-2473
Phone (304) 598-8600

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
I20190926003467 WV Practitioner - Optometry 4183954548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2062-IOD1WVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlyn Haring, OD, PLLC Optometrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

9603 Mall Rd
Westover, WV 26501
Phone (304) 983-6699

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1972157733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 MALL RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265018540",
            "telephone_number": "304-292-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 VENTURE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087306",
            "telephone_number": "304-292-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5605 University Town Centre Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265012473",
            "country_code": "US",
            "telephone_number": "304-598-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARING",
        "first_name": "CAITLYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2062-IOD1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.