Organization Active NPI

Joseph W Myers OD Inc

Doing business as Myers Eye Clinic

  • Optometrist
  • Moundsville, WV
National Provider Identifier
1982757720
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
567-D Issued in WV
Legal business name
JOSEPH W MYERS OD INC
Doing business as
Myers Eye Clinic
Practice address
511 5TH St
Moundsville, WV 26041-1901
Phone
(304) 845-1560
Fax
(304) 845-6381
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Joseph Winfred Myers, O.D.
Title
President
Phone
(304) 845-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 567-D WV Primary

Addresses

Primary practice location

511 5TH St
Moundsville, WV 26041-1901

Mailing address

PO Box 708
Moundsville, WV 26041-0708
Phone (304) 845-1560

Other identifiers 9

IdentifierTypeStateIssuer
1982757720OtherCORPORATION NPI NUMBER
001720036OtherWVBLUECROSS PAY TO NUMBER
3810011960OtherWVMEDICAID GROUP NUMBER
567OtherWVHEALTHPLAN UPPER OHIO VAL
1063491082OtherINDIVIDUAL NPI NUMBER
DD7795OtherRAILROAD MEDICARE GROUP N
000067780OtherWABLUE CROSS PROVIDER NUMBE
P00250559OtherRAILROAD MEDICARE PIN
0150358000MedicaidWV

Other names 1

  • Myers Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

511 5th St
Moundsville, WV 26041
Phone (304) 845-1560

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1982757720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260410708",
            "telephone_number": "304-845-1560",
            "fax_number": "304-845-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 5TH ST",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411901",
            "telephone_number": "304-845-1560",
            "fax_number": "304-845-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W MYERS OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WINFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-845-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "567-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NPI NUMBER",
            "identifier": "1982757720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PAY TO NUMBER",
            "identifier": "001720036",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "3810011960",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLAN UPPER OHIO VAL",
            "identifier": "567",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1063491082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP N",
            "identifier": "DD7795",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "000067780",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00250559",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150358000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myers Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moundsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.