Active NPI
Craig Clifton Hyre, O.D.
- Optometrist
- Elkins, WV
National Provider Identifier
1992795835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 867OD
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149464000 | Medicaid | WV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 867OD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eyecare Center | Optometrist | Current | 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.
-
- Optometrist
- Elkins, WV
- NPI 1821150970
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.