TERRY S MANGOLD (NPI# 1689671877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689671877 |
| Entity Type | Individual |
| Full Name | TERRY S MANGOLD |
| Credential | OD |
| Practice Address |
1405 Chandell St Keyser Keyser WV 26726-2012 |
| Practice Telephone | 3047885961 |
| Practice Fax Number | 3047885961 |
| Mailing Telephone | 3047885961 |
| Mailing Fax Number | 3047885961 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2008-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | WV718-OD | WV | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | TAX ID # | 550607791 | 01 |
| WV | 0150688000 | 05 | |
| WV | MAMSI HEALTH INSURANCE | 257851 | 01 |
| Street Address |
1405 CHANDELL ST KEYSER |
| City | KEYSER |
| State | WV |
| Zip Code | 26726-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269047 | Regional Eye Associates, Inc | Ophthalmology | 1405 Chandell St, Keyser, WV 26726-2012 | 2019-01-23 |
| 1639442635 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1405 Chandell St, Keyser, WV 26726-2012 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199937 | Susan Raye Thorne | Technician | 193 Primrose Dr, Keyser, WV 26726 | 2020-09-22 |
| 1982215141 | Rachael Yvonne Lewis | Technician | 30 Csx Ln, Keyser, WV 26726 | 2020-08-12 |
| 1942847975 | Recovery Care LLC | Family Medicine | 37 Carroll Avenue, Keyser, WV 26726 | 2019-12-10 |
| 1346713633 | Ruby Ann Olitan | Pharmacist | Rr 3 3186, Keyser, WV 26726 | 2019-01-09 |
| 1164915526 | Keyser Family Dentistry, Pllc | Dentist | 1035 Florida Ave., Keyser, WV 26726 | 2018-06-11 |
| 1093223075 | Leslie Bosley | Speech-Language Pathologist | Mineral County Board of Education, One Baker, Keyser, WV 26726 | 2018-01-12 |
| 1043737927 | Melissa Sue Hines | Social Worker | 539 New Creek Highway, Keyser, WV 26726 | 2017-08-23 |
| 1962928242 | Walgreen Co | Pharmacy | 839 S Mineral St, Keyser, WV 26726 | 2017-08-17 |
| 1386980704 | Heritage Hearing Aid Centers, LLC | Hearing Aid Equipment | Route 3 Box 3288, Keyser, WV 26726 | 2012-12-13 |
| 1659685246 | Suratkal V Shenoy Md PC | Surgery | Rt 220 South and Staggs Lane, Keyser, WV 26726 | 2010-08-06 |
| Find all providers in zip 26726 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053978379 | Myeyedr Optometry of West Virginia, Pllc | Optometrist | 1190 New Creek Hwy, Keyser, WV 26726-8233 | 2019-05-22 |
| 1548425838 | William Benjamin Conrad | Optometrist | 130 Walmart Drive, Keyser, WV 26726-9466 | 2008-07-25 |
| 1679627558 | Mountain State Eye Center | Optometrist | Rr 3 Box 3300, Keyser, WV 26726-9481 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336214 | Brianna Farley | Optometrist | Bailey Eye Care, 6010 Us-60 East, Barboursville, WV 25504-2550 | 2020-08-12 |
| 1013559673 | Vision 2020 | Optometrist | 171 Retail Commons Pkwy Ste 6, Martinsburg, WV 25403-6179 | 2019-10-15 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1285296145 | Myeyedr Optometry of West Virginia, Pllc | Optometrist | 100 W Main St Ste A, Buckhannon, WV 26201-2292 | 2019-07-01 |
| 1962975045 | Martinsburg Family Eye Care, Pllc | Optometrist | 55 Meridian Pkwy Ste 105, Martinsburg, WV 25404-5422 | 2019-01-10 |
| 1790271211 | Misty Lane | Optometrist | 324 Oakvale Rd Ste 100, Princeton, WV 24740-3829 | 2018-07-09 |
| 1205366333 | Wink Vision | Optometrist | 96 Patrick Henry Way Ste 6, Charles Town, WV 25414-4391 | 2017-06-12 |
| 1033664248 | Hunt Eye Care Pllc | Optometrist | Rr 2 Box 181-2, Elkins, WV 26241-9610 | 2016-08-17 |
| 1245682608 | Kenneth Cole | Optometrist | 310 Locust St # 6, Princeton, WV 24740-3625 | 2016-07-11 |
| 1770931594 | Andrew Hawkins | Optometrist | 6639 Country Club Dr, Huntington, WV 25705-2049 | 2016-06-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.