Provider Demographics
NPI:1053473827
Name:FICK EYECARE, INC
Entity Type:Organization
Organization Name:FICK EYECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:FICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-739-2698
Mailing Address - Street 1:PO BOX 5096
Mailing Address - Street 2:WHITEHALL STATION
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26555-5096
Mailing Address - Country:US
Mailing Address - Phone:304-366-3425
Mailing Address - Fax:304-366-0505
Practice Address - Street 1:32 TYGART MALL RD
Practice Address - Street 2:INSIDE WALMART
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554
Practice Address - Country:US
Practice Address - Phone:304-366-3425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty