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MOUNTAINEER VISION CENTER PLLC NPI 1467520890


NPI Information

NPI: 1467520890
Provider Name: MOUNTAINEER VISION CENTER, PLLC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 51D2096013

Address:
827 FAIRMONT RD
SUITE 105
MORGANTOWN, WV
ZIP 26501
Phone: (304) 296-3333
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MOUNTAINEER VISION CENTER, PLLC is an optometrist in Morgantown, WV. The provider is 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. MOUNTAINEER VISION CENTER, PLLC NPI is 1467520890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

827 FAIRMONT RD
SUITE 105
MORGANTOWN, WV
ZIP 26501-857
Phone: (304) 296-3333
Fax: (304) 296-2220

The provider's authorized official is Mark D Robinson .
The authorized official title is Owner Member and has the following contact phone number (304) 296-3333.

The CLIA number assigned to this NPI record is 51D2096013 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2006 and was last updated on 8/2/2011.


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
1152W00000XOptometrist663-DWEST 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
15439530001MEDICARE NSCWEST VIRGINIA
29366661MEDICARE PINWEST VIRGINIA
33810001261MEDICAIDWEST 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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