Healthcare Provider Details

I. General information

NPI: 1003810557
Provider Name (Legal Business Name): UNIVERSITY PHYSICIANS & SURGEONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 13TH AVE SUITE 2B
HUNTINGTON WV
25701-3840
US

IV. Provider business mailing address

1616 13TH AVE SUITE 2B
HUNTINGTON WV
25701-3840
US

V. Phone/Fax

Practice location:
  • Phone: 304-697-0393
  • Fax: 304-697-0395
Mailing address:
  • Phone: 304-697-0393
  • Fax: 304-697-0395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES J SCHNEIDER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 304-691-1602