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Fairmont Eye Care Inc

NPI 1104889971ActiveOrganization· Optometrist· Fairmont, WV

Optometrist in Fairmont, West Virginia, registered in NPPES in April 2006. The authorized official on file is Philip Marc Wilmoth, OD, President Doctor. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.

Overview

NPI1104889971
StatusActive
Entity typeOrganization
NPI issuedApr 11, 2006
Last updated in NPPESSep 12, 2026
Certified by providerSep 12, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X—WV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Optometrist (WV); Part B Supplier - Clinic/Group Practice (WV)

Medicare sources and data years

Other Optometrist providers in Fairmont

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