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MOUNTAIN STATE EYE ASSOCIATES PLLC NPI 1437493319


NPI Information

NPI: 1437493319
Provider Name: MOUNTAIN STATE EYE ASSOCIATES, PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1306 KANAWHA BLVD EAST
CHARLESTON, WV
ZIP 25301
Phone: (304) 353-0304
Get Directions

MOUNTAIN STATE EYE ASSOCIATES, PLLC is an ophthalmology in Charleston, 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. MOUNTAIN STATE EYE ASSOCIATES, PLLC NPI is 1437493319. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1306 KANAWHA BLVD EAST
CHARLESTON, WV
ZIP 25301-001
Phone: (304) 353-0304
Fax: (304) 353-0218

The provider's authorized official is Anne Elizabeth Bounds .
The authorized official title is Office Manager and has the following contact phone number (304) 353-0222.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 12/5/2012.


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
1207W00000XOphthalmologyWV20725WEST VIRGINIANo
2152W00000XOptometristWV8200DWEST VIRGINIANo
3207W00000XOphthalmologyWV21067WEST VIRGINIAYes

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
13810005917MEDICAIDWEST VIRGINIA
20149311000MEDICAIDWEST VIRGINIA
32004585000MEDICAIDWEST 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: 4/28/2024

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