EYE CENTER OF GREENBRIER VALLEY INC (NPI# 1184775041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184775041 |
| Entity Type | Organization |
| Organization Name | EYE CENTER OF GREENBRIER VALLEY INC |
| Practice Address |
3942 Davis Stuart Rd Ronceverte WV 24970-0260 |
| Practice Telephone | 3047933937 |
| Practice Fax Number | 3047932203 |
| Mailing Telephone | 3047933937 |
| Mailing Fax Number | 3047932203 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | PHILIP LIGHT (EXECUTIVE) |
| Authorized Official Telephone | 3047933937 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810003698 | 05 |
| Street Address |
3942 DAVIS STUART RD |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-0260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245717065 | Blink, Inc. | Optometrist | 3942 Davis Stuart Rd, Ronceverte, WV 24970 | 2018-07-24 |
| 1851531297 | Krista N Adams | Optometrist | 3942 Davis Stuart Rd, Ronceverte, WV 24970-0260 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124201843 | Sally Lue Reggel Oakes | Technician/Technologist | 1852 Military Rd, Huntington, WV 25701-5301 | 2007-12-17 |
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on EYE CENTER OF GREENBRIER VALLEY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.