Repko Family Vision Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REPKO FAMILY VISION CENTER, PLLC

Practice address

241 Gateway PLZ
Suite 106
Gate City, VA 24251-3350

Phone

(276) 690-2345

NPI assigned

Aug 15, 2011

Last updated

Apr 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa G Repko, ODNPI 1770773707

Title

Member

Phone

(276) 690-2345

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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.

• Melissa Gail Repko, O.D.

  • Optometrist
  • Gate City, VA
  • NPI 1770773707
  Medicare reassignment Care Compare group NPD Authorized official
• Taylor E Repko, OD

  • Optometrist
  • Bristol, VA
  • NPI 1861467763
  Medicare reassignment Care Compare group NPD
• Shivangi Patel, OD

  • Optometrist
  • Mount Pleasant, SC
  • NPI 1275130064

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1013296581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GATEWAY PLZ",
            "address_2": "SUITE 106",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242513350",
            "telephone_number": "276-690-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GATEWAY PLZ",
            "address_2": "SUITE 106",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242513350",
            "telephone_number": "276-690-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPKO FAMILY VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "REPKO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "276-690-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010128404",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010355982",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Price, CCC-SLP
• Bobby James Purvis
• Deborah D Ramey
• Bryan Todd Ratliff, RPH
• Julia Yvonne Rentfrow
• Melissa Gail Repko, O.D.
• Restart Collective
• Sandra Kay Rhoton, BSW
• Brenda Ryan, SPEECH LANGUAGE PATH
• Lisa Y Salyer, NURSE PRACTITIONER

• Optometrist in Gate City, VA
• Providers in Gate City, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.

Verify at the official NPI Registry.