Mountain State Eye Associates, Pllc

LBN: Mountain State Eye Associates, Pllc
Mountain State Eye Associates, Pllc is an health care organization with primary practice located at 1306 Kanawha Blvd East , Charleston WV 25301-3001. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Mountain State Eye Associates, Pllc can be contacted via phone (304) 353-0304, or through Bounds, Anne Elizabeth via phone (304) 353-0222.

Contact Information

Primary practice address
1306 Kanawha Blvd East Charleston WV 25301-3001
Phone: (304) 353-0304
Fax: (304) 353-0218
Website:
Map and Directions
Authorized official contact:
Name: Bounds, Anne Elizabeth
Phone: (304) 353-0222

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X WV8200D West Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X WV20725 West Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X WV21067 West Virginia

Profile Details

NPI number 1437493319
LBN Legal business name Mountain State Eye Associates, Pllc
DBA Doing business as
Authorized official Bounds, Anne Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2012
Last updated Dec 5th, 2012 - about 14 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 1437493319 NPPES
West Virginia MEDICAID 0149311000
West Virginia MEDICAID 3810005917
West Virginia MEDICAID 2004585000

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