Organization Active NPI

Westover Eye Associates PLLC

  • Optometrist
  • Farmington, WV
National Provider Identifier
1982982625
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3810007303MedicaidWV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.