Fairmont Eye Care Inc

LBN: Fairmont Eye Care Inc
Fairmont Eye Care Inc is an health care organization with primary practice located at 709 Morgantown Ave , Fairmont WV 26554. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fairmont Eye Care Inc can be contacted via phone (304) 366-4721, or through Wilmoth, Philip Marc via phone (304) 366-4721.

Contact Information

Primary practice address
709 Morgantown Ave Fairmont WV 26554
Phone: (304) 366-4721
Fax: (304) 366-4847
Website:
Map and Directions
Authorized official contact:
Name: Wilmoth, Philip Marc Doctor of Optometry (OD)
Phone: (304) 366-4721

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X West Virginia

Profile Details

NPI number 1104889971
LBN Legal business name Fairmont Eye Care Inc
DBA Doing business as
Authorized official Wilmoth, Philip Marc Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Dec 22nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104889971 NPPES
West Virginia MEDICAID 015096400
West Virginia Other CM3317

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