NPIMap

Organization Active NPI

Optical 101, LLC

  • Optometrist
  • Morgantown, WV
National Provider Identifier
1982951497
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1086-OD Issued in WV
Legal business name
OPTICAL 101, LLC
Practice address
499 High St
Morgantown, WV 26505-5516
Phone
(304) 296-2540
Fax
(304) 296-2542
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Dr. Thomas A. Brugnoli, O.D.
Title
Optometrist / Managing Partner
Phone
(304) 296-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1086-OD WV Primary

Addresses

Primary practice location

499 High St
Morgantown, WV 26505-5516

Mailing address

499 High St
Morgantown, WV 26505-5516
Phone (304) 296-2540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1982951497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 HIGH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055516",
            "telephone_number": "304-296-2540",
            "fax_number": "304-296-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 HIGH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055516",
            "telephone_number": "304-296-2540",
            "fax_number": "304-296-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL 101, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "BRUGNOLI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPTOMETRIST / MANAGING PARTNER",
        "authorized_official_telephone_number": "304-296-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1086-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.