Organization
JOSEPH W MYERS OD INC
Active
Other names
Myers Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WINFRED MYERS O.D. (PRESIDENT)
(304) 845-1560
Entity
Organization
Contact information
Practice address
511 5TH ST, MOUNDSVILLE, WV 26041-1901
(304) 845-1560
(304) 845-6381
Mailing address
PO BOX 708, MOUNDSVILLE, WV 26041-0708
(304) 845-1560
(304) 845-6381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
567-D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000067780
BLUE CROSS PROVIDER NUMBE
WA
01
—
001720036
BLUECROSS PAY TO NUMBER
WV
05
—
0150358000
—
WV
01
—
1063491082
INDIVIDUAL NPI NUMBER
—
01
—
1982757720
CORPORATION NPI NUMBER
—
01
—
3810011960
MEDICAID GROUP NUMBER
WV
01
—
567
HEALTHPLAN UPPER OHIO VAL
WV
01
—
DD7795
RAILROAD MEDICARE GROUP N
—
01
—
P00250559
RAILROAD MEDICARE PIN
—
Enumeration date
01/18/2007
Last updated
05/28/2009
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