Active NPI
C. Richard Snively, Jr., O.D.,P.C.
- Optometrist
- Vienna, VA
National Provider Identifier
1013130939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000132
- Legal business name
- C. RICHARD SNIVELY, JR., O.D.,P.C.
- Practice address
- 120 Beulah Rd NE
Vienna, VA 22180-4745 - Phone
- (703) 938-7633
- Fax
- (703) 938-4407
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Snively, O.D.
- Title
- President
- Phone
- (703) 938-7633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000132 | VA | Primary |
Addresses
Primary practice location
120 Beulah Rd NE
Vienna, VA 22180-4745
Mailing address
120 Beulah Rd NE
Vienna, VA 22180-4745
Phone (703) 938-7633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6699 Springfield Center Dr
Rm 116
Springfield, VA 22150
120 Beulah Rd NE
Ste 101
Vienna, VA 22180
Phone (703) 938-7633
120 Beulah Rd NE
Vienna, VA 22180
Phone (703) 938-2000
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013130939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BEULAH RD NE",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804745",
"telephone_number": "703-938-7633",
"fax_number": "703-938-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BEULAH RD NE",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804745",
"telephone_number": "703-938-7633",
"fax_number": "703-938-4407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C. RICHARD SNIVELY, JR., O.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SNIVELY",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-938-7633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618000132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.