WAYNE DOUGHERTY DBA WHEELING OPTICAL (NPI# 1871763862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871763862 |
Entity Type | Organization |
Organization Name | WAYNE DOUGHERTY DBA WHEELING OPTICAL |
Practice Address |
1101 Market Street Wheeling WV 26003-2905 |
Practice Telephone | 3042326501 |
Practice Fax Number | 3042326502 |
Mailing Telephone | 3042326501 |
Mailing Fax Number | 3042326502 |
Enumeration Date | 2008-03-05 |
Last Update Date | 2008-03-05 |
Authorized Official Name | WAYNE DOUGHERTY (OWNER OPTICIAN) |
Authorized Official Telephone | 3042326501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 156FX1800X |
Technician/Technologist Specialization: Optician |
05 7 00045 | WV | Eye and Vision Services Providers |
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 0507000045 | WV | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0151762000 | 05 |
Street Address |
1101 MARKET STREET |
City | WHEELING |
State | WV |
Zip Code | 26003-2905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
Find all providers in zip 26003 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
1295133361 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 536 Emily Dr, Clarksburg, WV 26301-5507 | 2014-12-05 |
1639573264 | Moore Vision Center, Pllc | Eyewear Supplier (Equipment, not the service) | 467 Main St Ste 401, Madison, WV 25130-2200 | 2014-10-10 |
1255755203 | Dove Eye | Eyewear Supplier (Equipment, not the service) | 120 Medical Park Dr Ste 103, Bridgeport, WV 26330-9013 | 2014-02-11 |
1770918443 | Field of Vision Optical Center | Eyewear Supplier (Equipment, not the service) | 10565 Veterans Memorial Hwy, Masontown, WV 26542-9577 | 2013-09-12 |
1871837757 | In Focus Optical | Eyewear Supplier (Equipment, not the service) | 1306 Kanawha Blvd East, Charleston, WV 25301-0301 | 2012-11-16 |
1679886154 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 100 Crossroads Mall, Mt Hope, WV 25880-9668 | 2010-07-26 |
1063738151 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 2010 Thundering Herd Dr, Barboursville, WV 25504-2601 | 2010-04-14 |
1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
Find all providers with the same taxonomy |
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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.