FAMILY EYEDOCTORS PLLC (NPI# 1538468764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538468764 |
| Entity Type | Organization |
| Organization Name | FAMILY EYEDOCTORS PLLC |
| Other Organization Name | FAMILY EYEDOCTORS |
| Practice Address |
1500 Grand Central Ave Ste 112 Vienna WV 26105-1079 |
| Practice Telephone | 3042955025 |
| Mailing Telephone | 3042955025 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | DR. JILL SHOWALTER (OWNER) |
| Authorized Official Telephone | 3042955025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 939-OD | WV | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICARE PTAN | A530 | 01 |
| Other Name | Type Code |
|---|---|
| Family EyeDoctors | Other Name - Individual/Organization |
| Street Address |
1500 GRAND CENTRAL AVE STE 112 |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518433796 | Kelci Walters | Optometrist | 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 | 2018-10-16 |
| 1669914412 | Visual Health Doctors of Optometry | Optometrist | 1927c Old Gallows Rd, Vienna, VA 22182-3924 | 2016-11-10 |
| 1871963488 | Associates In Eyecare-merrifield | Optometrist | 2672 Avenir Pl, Suite L, Vienna, VA 22180-7193 | 2015-09-25 |
| 1831504976 | Ansu Mariam Nathan | Optometrist | 8369 Leesburg Pike Ste A, Vienna, VA 22182-2421 | 2014-06-27 |
| 1225442288 | Canaan Matthew Montgomery | Optometrist | 1005 W Vine St, Vienna, IL 62995-1586 | 2014-06-18 |
| 1669503256 | Eyes On Grand Central Inc | Optometrist | 2653 Grand Central Ave, Vienna, WV 26105-1334 | 2007-03-08 |
| 1164566147 | Suleiman S Alibhai | Optometrist | 2227 Woodford Rd, Vienna, VA 22182-5084 | 2007-02-16 |
| 1083756746 | The Lasik Vision Institue, LLC | Optometrist | 8614 Westwood Center Dr, Suite 650, Vienna, VA 22182-2233 | 2007-02-12 |
| 1689729451 | Armin Namazizadeh | Optometrist | 2110 Gallows Rd # C, Suite 2, Vienna, VA 22182-3962 | 2007-01-24 |
| 1548325558 | Vienna Optometry, LLC | Optometrist | 401 Maple Ave W, Vienna, VA 22180-4222 | 2006-12-27 |
| Find all providers in VIENNA | ||||
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| 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.