NPIMap

Organization Active NPI

Regional Eye Associates, Inc

  • Optometrist
  • Keyser, WV
National Provider Identifier
1992269047
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REGIONAL EYE ASSOCIATES, INC
Practice address
1405 Chandell St
Keyser, WV 26726-2012
Phone
(304) 598-3301
Fax
(304) 225-0516
NPI assigned
Jan 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Edgar C GamponiaNPI 1053487736
Title
Authorized Rep
Phone
(304) 598-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

1405 Chandell St
Keyser, WV 26726-2012

Mailing address

1255 Pineview Dr.
White Birch Tower 1
Morgantown, WV 26505-2738
Phone (304) 598-3301

Other names 1

  • Regional Eye Associates Other name

National Provider Directory

National Provider Directory
Tax ID family
Regional Eye Assoc Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1255 Pineview Dr
#1
Morgantown, WV 26505

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1992269047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PINEVIEW DR.",
            "address_2": "WHITE BIRCH TOWER 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052738",
            "telephone_number": "304-598-3301",
            "fax_number": "304-225-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHANDELL ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262012",
            "telephone_number": "304-598-3301",
            "fax_number": "304-225-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL EYE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "GAMPONIA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "304-598-3301"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Eye Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.