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MONONGALIA EYE CLINIC LLC NPI 1992887731


NPI Information

NPI: 1992887731
Provider Name: MONONGALIA EYE CLINIC LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
3140 COLLINS FERRY RD
MORGANTOWN, WV
ZIP 26505
Phone: (304) 598-0055
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MONONGALIA EYE CLINIC LLC is an ophthalmology in Morgantown, WV. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MONONGALIA EYE CLINIC LLC NPI is 1992887731. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3140 COLLINS FERRY RD
MORGANTOWN, WV
ZIP 26505-352
Phone: (304) 598-0055
Fax: (304) 598-0058

The provider's authorized official is V K Raju .
The authorized official title is Owner/physician and has the following contact phone number (304) 598-0055.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 1/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementNo
2156FX1100XTechnician/TechnologistOphthalmicNo
3207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19313971MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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