1. Home
  2. Directory
  3. West Virginia
  4. Fairmont
  5. Optometrist
  6. NPI Profile

FAIRMONT EYE CARE INC
NPI 1104889971
Optometrist in Fairmont, WV

Active since April 11, 2006CLIA 51D2111591 · Waiver
709 MORGANTOWN AVE, FAIRMONT, WV 26554(304) 366-4721(304) 366-4847 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairmont Eye Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRMONT EYE CARE INC (NPI 1104889971) is a healthcare organization registered as an optometrist in Fairmont, West Virginia and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Philip Marc Wilmoth, President Doctor, as its authorized official.

NPPES Registry Identity

NPI1104889971
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFAIRMONT EYE CARE INC
Location Address709 MORGANTOWN AVEFairmont, WV 26554
Mailing Address709 Morgantown AveFairmont, WV 26554-4331 · (304) 366-4721 · Fax (304) 366-4847
Phone(304) 366-4721
Fax(304) 366-4847
Organization SubpartNo
Authorized OfficialPhilip Marc WilmothPresident Doctor · (304) 366-4721
Enumeration DateApril 11, 2006
Last NPPES UpdateDecember 22, 2009
✔ NPI 1104889971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
709 MORGANTOWN AVE, Fairmont, WV 26554
Open in Google Maps ↗

Other Identifiers 4

Medicaid015096400WV
Medicare NSC0154150001WV
OtherCM3317WV · Railroad Medicare
Medicare ID-Type UnspecifiedFA9263131WV · Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2111591

Fairmont Eye Care · Fairmont, WV
Active · expires Apr 10, 2028
CLIA Number51D2111591
Laboratory TypePractitioner Other
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorMartin W. Carpenter Od
Laboratory Phone(304) 336-4721
Laboratory LocationFairmont Eye Care709 Morgantown Avenue, Fairmont, WV 26554
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Fairmont Eye Care, Inc. carries, from the Medicare DMEPOS supplier directory.

Fairmont Eye Care, Inc.

DMEPOS supplier · Fairmont, WV
✔

Accepts Medicare assignment

Fairmont Eye Care, Inc. agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)26716600
Medicare Participant SinceJanuary 1, 1998
Supplier Location709 Morgantown AveFairmont, WV 26554
Phone(304) 366-4721
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTIN WAYNE CARPENTER O.D.
Optometrist
709 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-4721
DR. PHILIP MARC WILMOTH OD
Optometrist
709 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-4721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairmont Eye Care Inc's NPI number?

The NPI number for Fairmont Eye Care Inc is 1104889971. It was assigned to this organization in the NPPES registry on April 11, 2006.

Where is Fairmont Eye Care Inc located?

Fairmont Eye Care Inc is located at 709 Morgantown Ave, Fairmont, WV 26554. The listed phone number is (304) 366-4721.

What is Fairmont Eye Care Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Fairmont Eye Care Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fairmont Eye Care, Inc. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Fairmont Eye Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2111591) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairmont Eye Care Inc accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Fairmont Eye Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairmont Eye Care Inc was last updated on December 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.