Monongalia Eye Clinic LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MONONGALIA EYE CLINIC LLC

Practice address

3140 Collins Ferry Rd
Morgantown, WV 26505-3352

Phone

(304) 598-0055

Fax

(304) 598-0058

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. V K Raju, MD

Title

Owner/Physician

Phone

(304) 598-0055

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Vadrevu K Raju, M.D.

  • Ophthalmology Physician
  • Morgantown, WV
  • NPI 1346248127
  NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1992887731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 COLLINS FERRY RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053352",
            "telephone_number": "304-598-0055",
            "fax_number": "304-598-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 COLLINS FERRY RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053352",
            "telephone_number": "304-598-0055",
            "fax_number": "304-598-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONONGALIA EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "304-598-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monongalia County General Hospital Company
• Monongalia County Health Department
• Monongalia County Society for Crippled Children and Adults (SteppingStones)
• Monongalia County Youth Service Center, Inc.
• Monongalia Emergency Medical Services Inc
• Monongalia Home Corporation (Sundale Nursing Home)
• Monongalia Orthopedic Foot and Ankle Center (Greschner Foot & Ankle Specialists)
• Monongalia Pediatric & Youth Associates, Inc.
• Monongalia Pediatric & Youth Associates, Inc.
• Monongalia Physical Therapy Services, LTD.

• Ophthalmology Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.