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RANDOLPH COUNTY EYE CARE CENTER PC
NPI 1780779835
Optometrist in Elkins, WV

Active since October 04, 2006
RT 250/219 CHENOWETH CREEK RD, ELKINS, WV 26241(304) 636-3887(304) 636-0538 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Randolph County Eye Care Center Pc NPPES

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

RANDOLPH COUNTY EYE CARE CENTER PC (NPI 1780779835) is a healthcare organization registered as an optometrist in Elkins, West Virginia and active in the NPI registry since October 2006. The organization lists Jenna Louise Gongola, President Optometrist, as its authorized official.

NPPES Registry Identity

NPI1780779835
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameRANDOLPH COUNTY EYE CARE CENTER PC
Location AddressRT 250/219 CHENOWETH CREEK RDElkins, WV 26241
Mailing AddressPo Box 1489Elkins, WV 26241 · (304) 636-3887 · Fax (304) 636-0538
Phone(304) 636-3887
Fax(304) 636-0538
Organization SubpartNo
Authorized OfficialJenna Louise GongolaPresident Optometrist · (304) 636-3887
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 2, 2008
✔ NPI 1780779835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WV · WV93800
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.
RT 250/219 CHENOWETH CREEK RD, Elkins, WV 26241
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Other Identifiers 3

Medicare PINRA9295911WV
Medicaid0012694000WV
Medicare NSC1191850001WV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randolph County Eye Care Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Randolph County Eye Care Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Lambert, OD
Optometry
NPI 1194379479
205 CHENOWETH CREEK RD
Elkins, WV 26241
(304) 636-3887
✔ PECOS✔ Accepts Medicare2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Randolph County Eye Care Center PC's NPI number?

The NPI number for Randolph County Eye Care Center PC is 1780779835. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Randolph County Eye Care Center PC located?

Randolph County Eye Care Center PC is located at Rt 250/219 Chenoweth Creek Rd, Elkins, WV 26241. The listed phone number is (304) 636-3887.

What is Randolph County Eye Care Center PC's specialty?

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

Is Randolph County Eye Care Center PC enrolled in Medicare?

Yes. Randolph County Eye Care Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Randolph County Eye Care Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Randolph County Eye Care Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Randolph County Eye Care Center PC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Highmark Blue Cross Blue Shield West Virginia list Randolph County Eye Care Center PC 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 Randolph County Eye Care Center PC was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.