NPIMap

Organization Active NPI

Jessica Grimes, OD, LLC

Doing business as Family Vision Care

  • Optometrist
  • Colonial Heights, VA
National Provider Identifier
1003289042
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002132 Issued in VA
Legal business name
JESSICA GRIMES, OD, LLC
Doing business as
Family Vision Care
Practice address
798 Southpark Blvd
Suite 24
Colonial Heights, VA 23834-3615
Phone
(804) 524-0200
NPI assigned
Nov 12, 2015
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jessica Ann Grimes, ODNPI 1609137611
Title
Optometrist
Phone
(804) 896-1622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618002132 VA Primary

Addresses

Primary practice location

798 Southpark Blvd
Suite 24
Colonial Heights, VA 23834-3615

Mailing address

798 Southpark Blvd
Suite 24
Colonial Heights, VA 23834-3615

Other names 1

  • Family Vision Care Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://masonfamilyvision.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1003289042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 SOUTHPARK BLVD",
            "address_2": "SUITE 24",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 SOUTHPARK BLVD",
            "address_2": "SUITE 24",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343615",
            "telephone_number": "804-524-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA GRIMES, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "804-896-1622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.