Individual provider Active NPI

Craig Clifton Hyre, O.D.

  • Optometrist
  • Elkins, WV
National Provider Identifier
1992795835
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
867OD Issued in WV
Practice address
1500 Harrison Ave
Elkins, WV 26241-3327
Phone
(304) 636-9111
Fax
(304) 591-4537
NPI assigned
Oct 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 867OD WV Primary

Addresses

Primary practice location

1500 Harrison Ave
Elkins, WV 26241-3327

Mailing address

PO Box 3075
Elkins, WV 26241-6075
Phone (304) 636-9111

Other identifiers 1

IdentifierTypeStateIssuer
0149464000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000981 WV Practitioner - Optometry 2860420692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 Harrison Ave
Suite 2
Elkins, WV 26241-3492
Phone (304) 636-9111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
867ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Center Optometrist CurrentSince Jan 1, 2000 Accepting new patients

Locations

1500 Harrison Ave
Elkins, WV 26241
Phone (304) 636-6100

1500 Harrison Ave
Ste 2
Elkins, WV 26241
Phone (304) 636-9111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1992795835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3075",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262416075",
            "telephone_number": "304-636-9111",
            "fax_number": "304-591-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413327",
            "telephone_number": "304-636-9111",
            "fax_number": "304-591-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYRE",
        "first_name": "CRAIG",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-23",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "867OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149464000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.