Individual provider Active NPI

Kevin Virnig Jr., O.D.

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1023446382
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2352 Issued in NC
Practice address
3354 W Friendly Ave
Greensboro, NC 27410-4888
Phone
(336) 387-0930
NPI assigned
Oct 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2352 NC Primary

Addresses

Primary practice location

3354 W Friendly Ave
Greensboro, NC 27410-4888

Mailing address

8701 JW Clay Blvd
Charlotte, NC 28262-5417

Other practice location 1

8701 Jw Clay Blvd
Charlotte, NC 28262-5417
Phone (704) 510-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306001941 NC Practitioner - Optometry 3577793884 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2352NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patty Vision Center OD PA Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Mar 17, 2015 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Mar 17, 2015 Accepting new patients

Locations

2326 S Church St
Ste A
Burlington, NC 27215
Phone (336) 513-0073

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

3354 W Friendly Ave
Greensboro, NC 27410
Phone (336) 387-0930

5710 W Gate City Blvd
Ste Q
Greensboro, NC 27407
Phone (336) 856-8711

415 Semora Rd
Roxboro, NC 27573
Phone (336) 599-0246

495 US Highway 158 W
Yanceyville, NC 27379
Phone (336) 694-9632

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023446382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 JW CLAY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104888",
            "telephone_number": "336-387-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 Jw Clay Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282625417",
            "country_code": "US",
            "telephone_number": "704-510-0816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRNIG",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.