DR. MITCHELL LEE KOERBER (NPI# 1801851316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801851316 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL LEE KOERBER |
| Credential | OD |
| Practice Address |
442 Highland Ave Williamstown WV 26187-1249 |
| Mailing Address |
442 Highland Ave Williamstown WV 26187-1299 |
| Practice Telephone | 3043756468 |
| Practice Fax Number | 3043756468 |
| Mailing Telephone | 3043756468 |
| Mailing Fax Number | 3043756468 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2010-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
WV937OD | WV | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0149872000 | 05 |
| Street Address |
442 HIGHLAND AVE |
| City | WILLIAMSTOWN |
| State | WV |
| Zip Code | 26187-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013121680 | Williamstown Eye Clinic Inc. | Optometrist | 442 Highland Ave, Williamstown, WV 26187-1249 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594757 | Mountain River Physical Therapy, LLC | Clinic/Center | 108 Osprey Drive, Suite B, Williamstown, WV 26187 | 2020-10-05 |
| 1669984738 | Michael Shawn Frazier | Technician | 413 Henderson Ave., Williamstown, WV 26187 | 2017-10-30 |
| 1881053783 | Jessica Foss | Massage Therapist | 1113 Highland Ave, Williamstown, WV 26187 | 2016-02-19 |
| 1619302924 | First Settlement Physical Therapy | Clinic/Center | 601 Highland Ave, Williamstown, WV 26187 | 2013-09-05 |
| 1518091446 | Karen Elizabeth Wright | Home Health Aide | 3890 Williamstown Pike, Williamstown, WV 26187 | 2007-03-15 |
| 1992871834 | Stephen A Davis | Dentist | 447 Oakwood Avenue, Williamstown, WV 26187 | 2006-11-24 |
| 1720181241 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 2399 Williams Highway, Williamstown, WV 26187 | 2006-09-07 |
| 1083212666 | Timinia Jaquell Edwards | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-15 |
| 1508464298 | Adam Wade | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-14 |
| 1003414707 | Tammy Johnson | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-14 |
| Find all providers in zip 26187 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992887731 | Monongalia Eye Clinic LLC | Optometrist | 3140 Collins Ferry Rd, Morgantown, WV 26505-3352 | 2006-10-20 |
| 1417952037 | Martin B Gresak | Optometrist | 918 Chestnut Ridge Rd, Ste 7, Morgantown, WV 26505-2822 | 2005-06-20 |
| 1336144294 | Thomas A Stout | Optometrist | 3000 Hampton Ctr, Ste A, Morgantown, WV 26505-1708 | 2005-06-16 |
| 1508869298 | Larry Wayne Carr | Optometrist | 214 Washington St, Saint Marys, WV 26170-1041 | 2005-05-27 |
| 1215124169 | Martin B. Gresak, O.d. | Optometrist | 301 Jefferson Ave, Moundsville, WV 26041-1639 | 2007-09-25 |
| 1831398510 | Michael R. Looper | Optometrist | 100 Buckhannon Crossroads, Buckhannon, WV 26201 | 2007-07-13 |
| 1659459592 | Optometric Physicians of Parkersburg Inc | Optometrist | 416 Division St, Parkersburg, WV 26101-5619 | 2006-11-01 |
| 1669569182 | Chaney Eye Care Pllc | Optometrist | 300 Madison Ave, Madison, WV 25130-1511 | 2006-10-06 |
| 1376508549 | Mark James Cinalli | Optometrist | 416 Division St, Parkersburg, WV 26101-5619 | 2006-04-19 |
| 1609831874 | Ronald David Frame | Optometrist | 416 Division St, Parkersburg, WV 26101-5619 | 2006-04-19 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTOWN |
| Zip Code | 26187 |
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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.