Active NPI
Westover Eye Associates PLLC
- Optometrist
- Farmington, WV
National Provider Identifier
1982982625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WESTOVER EYE ASSOCIATES PLLC
- Practice address
- 3208 Husky Hwy
Farmington, WV 26571-8122 - Phone
- (304) 825-6364
- NPI assigned
- Jul 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew G Berardi, OD
- Title
- Owner
- Phone
- (304) 825-6364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3208 Husky Hwy
Farmington, WV 26571-8122
Mailing address
3208 Husky Hwy.
Farmington, WV 26571
Phone (304) 825-6364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810007303 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
3208 Husky Hwy
Farmington, WV 26571
Phone (304) 825-6364
9603 Mall Rd
Westover, WV 26501
Phone (304) 983-6699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1982982625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 HUSKY HWY.",
"city": "FARMINGTON",
"state": "WV",
"postal_code": "26571",
"telephone_number": "304-825-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 HUSKY HWY",
"city": "FARMINGTON",
"state": "WV",
"postal_code": "265718122",
"telephone_number": "304-825-6364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTOVER EYE ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BERARDI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-825-6364",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810007303",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.