Individual provider Active NPI

Gobinda Pangeni

  • Optometrist
  • South Boston, VA
National Provider Identifier
1023708054
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003451 Issued in VA
Practice address
521 Webster Street
South Boston, VA 24592
Phone
(434) 572-9500
NPI assigned
May 12, 2023
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004412A IN
Optometrist 152W00000X 0620000096 VA
Optometrist 152W00000X 0618003451 VA Primary

Addresses

Primary practice location

521 Webster Street
South Boston, VA 24592

Mailing address

PO Box 45923
Baltimore, MD 21297-5923
Phone (434) 385-5600

Other practice location 1

4100 W 3rd St
Dayton, OH 45428-9000
Phone (502) 333-4760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240826001523 IN Practitioner - Optometry 8527507383 Reassigns benefits to 1 organization
I20241203002258 VA Practitioner - Optometry 8527507383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Harman MD LLCGroup PAC ID 6305828062, 51 clinicians

Practice addresses (Care Compare)

521 Webster St
South Boston, VA 24592-2429
Phone (434) 385-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004412AINMDOptometrist
0620000096VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
City Optical Co., Inc. Optometrist Current Accepting new patients
David M Harman MD LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Jun 17, 2024 Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Jun 17, 2024 Accepting new patients
Harman Eye Center of Appomattox and Associates PLC Optometrist Past Accepting new patients

Locations

2835 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

2839 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

8725 US 31
Indianapolis, IN 46227
Phone (317) 881-6708

505 7th St
Altavista, VA 24517
Phone (434) 369-5092

4244 Virginia Ave
Collinsville, VA 24078
Phone (276) 647-3766

800 Memorial Dr
Ste A
Danville, VA 24541
Phone (434) 799-3232

100 N Virginia St
Farmville, VA 23901
Phone (434) 392-8113

1825 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-5650

1503 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 832-0700

2108 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 845-2020

1049 Brookdale St
Ste C
Martinsville, VA 24112
Phone (276) 656-2021

125 Suffolk Ave
Richlands, VA 24641
Phone (276) 963-0808

2047 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-9733

521 Webster St
South Boston, VA 24592
Phone (434) 572-9500

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": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1023708054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45923",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975923",
            "telephone_number": "434-385-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 WEBSTER STREET",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "24592",
            "telephone_number": "434-572-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454289000",
            "country_code": "US",
            "telephone_number": "502-333-4760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANGENI",
        "first_name": "GOBINDA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004412A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0620000096",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.