WAYNE DOUGHERTY DBA WHEELING OPTICAL NPI 1871763862

NPI Information

NPI: 1871763862
Provider Name: WAYNE DOUGHERTY DBA WHEELING OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1101 MARKET STREET
WHEELING, WV
ZIP 26003
Phone: (304) 232-6501
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WAYNE DOUGHERTY DBA WHEELING OPTICAL is an eyewear supplier in Wheeling, WV. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAYNE DOUGHERTY DBA WHEELING OPTICAL NPI is 1871763862. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 MARKET STREET
WHEELING, WV
ZIP 26003-905
Phone: (304) 232-6501
Fax: (304) 232-6502

The provider's authorized official is Wayne Dougherty .
The authorized official title is Owner Optician and has the following contact phone number (304) 232-6501.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	05 7 00045	WEST VIRGINIA	No
2	332H00000X	Eyewear Supplier		0507000045	WEST VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0151762000	MEDICAID	WEST VIRGINIA
2	1255560001	MEDICARE NSC

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

NPI Synchronization or Removal

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