| Dr Stephen L Moon, OD | |
|
1322 Locust Ave, Fairmont, WV 26554-1436 | |
| (304) 366-0700 | |
| (304) 367-8766 |
| Full Name | Dr Stephen L Moon |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1322 Locust Ave, Fairmont, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558393975 | NPI | - | NPPES |
| 227498 | Other | WV | OPTIMUM CHOICE |
| V27522 | Other | WV | WV WORKER'S COMP |
| 505817 | Other | WV | NATIONAL CAPITAL PPO |
| 001718661 | Other | WV | MT STATE BC/BS |
| 0004613017 | Other | WV | AETNA |
| 0150898000 | Medicaid | WV | |
| 410025059 | Other | WV | RR MEDICARE |
| FQ783 | Other | WV | HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 783D (West Virginia) | Primary |
| Provider Name | Monongahela Valley Association Of Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Public Health/welfare Agency |
| Provider Identifiers | NPI Number: 1770697278 PECOS PAC ID: 6800991977 Enrollment ID: O20080220000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen L Moon, OD Po Box 1112, Fairmont, WV 26555-1112 Ph: (304) 366-0700 | Dr Stephen L Moon, OD 1322 Locust Ave, Fairmont, WV 26554-1436 Ph: (304) 366-0700 |
Fick Eyecare, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 32 Tygart Mall Rd, Inside Walmart, Fairmont, WV 26554 Phone: 304-366-3425 | |
Fairmont Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 709 Morgantown Ave, Fairmont, WV 26554 Phone: 304-366-4721 Fax: 304-366-4847 | |
West Virginia Optometric Group Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1476 Lawrence St, Fairmont, WV 26554 Phone: 304-444-5573 | |
Vision Health Care, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 717 Fairmont Ave, Fairmont, WV 26554 Phone: 304-366-3830 Fax: 304-366-8049 | |
Dr. J Keith Wade, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 405 Locust Ave, Fairmont, WV 26554 Phone: 304-366-2020 Fax: 304-367-0863 | |
Dr. C David Laughlin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 405 Locust Ave, Fairmont, WV 26554 Phone: 304-366-2020 Fax: 304-367-0863 | |
Dr. Martin Wayne Carpenter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 709 Morgantown Ave, Fairmont, WV 26554 Phone: 304-366-4721 Fax: 304-366-4847 |