CHARLESTON VISION SOURCE
NPI 1649933763
Optometrist in Charleston, WV

Q: What is Moderneyes, PLLC's NPI number?

The NPI number for Moderneyes, PLLC is 1649933763. It was assigned to this organization in the NPPES registry on October 15, 2021. The provider is doing business as Charleston Vision Source.

Q: What is Moderneyes, PLLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Moderneyes, PLLC was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 15, 2021

4202 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 925-4761 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2023, Oct 15, 2021 (2 updates tracked since 2021).

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About Charleston Vision Source NPPES

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

CHARLESTON VISION SOURCE (NPI 1649933763) is a healthcare organization registered as an optometrist in Charleston, West Virginia and active in the NPI registry since October 2021. The organization lists Laura M Suppa Sammons, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1649933763

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMODERNEYES, PLLC

Location Address4202 MACCORKLE AVE SECharleston, WV 25304-2502

Mailing Address1171 Creekstone RdgSouth Charleston, WV 25309-9476 · (304) 545-8366

Phone(304) 925-4761

Organization SubpartYes

Authorized OfficialLaura M Suppa SammonsOptometrist · (304) 545-8366

Enumeration DateOctober 15, 2021

Last NPPES UpdateMay 25, 20232 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1649933763 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.

4202 MACCORKLE AVE SE, Charleston, WV 25304

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Other Names 1

Doing Business AsCharleston Vision Source

Other Identifiers 1

Medicaid3910005909WV

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 BlueCross BlueShield of Tennessee, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. LAURA MARIE SUPPA SAMMONS OD

Optometrist

4202 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4761

DR. WILLIAM ALAN RADA O.D.

Optometrist

4202 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4761

WILLIAM ALAN RADA, OD

Optometrist

4202 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4761

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 Moderneyes, PLLC's NPI number?

The NPI number for Moderneyes, PLLC is 1649933763. It was assigned to this organization in the NPPES registry on October 15, 2021. The provider is doing business as Charleston Vision Source.

Where is Moderneyes, PLLC located?

Moderneyes, PLLC is located at 4202 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 925-4761.

What is Moderneyes, PLLC's specialty?

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

What insurance does Moderneyes, PLLC accept?

Health plans from BlueCross BlueShield of Tennessee and Highmark Blue Cross Blue Shield West Virginia list Moderneyes, PLLC 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 Moderneyes, PLLC was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.