Richard N Douglas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601002308 Issued in VA

Practice address

10431 Patterson Ave
Richmond, VA 23238-5101

Phone

(804) 217-6363

Fax

(804) 217-6400

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Dr Richard Douglas OD PC

  • Optometrist
  • Chester, VA
  • NPI 1578698668
  Medicare reassignment NPD Authorized official
• Commonwealth Eye Care Associates PC

  • Ophthalmology Physician
  • Henrico, VA
  • NPI 1568571065
  Medicare reassignment NPD
• Virginia Eye Consultants Inc

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1992727820

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1033105515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385101",
            "telephone_number": "804-217-6363",
            "fax_number": "804-217-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385101",
            "telephone_number": "804-217-6363",
            "fax_number": "804-217-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "RICHARD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601002308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010001803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas E Dougherty III, LCSW
• Catherine D Douglas, MS, RNC
• Jonelle Alicia Douglas, M.D.
• Michael F. S. Douglas, MD
• Pamela Kavanaugh Douglas, MSN,APRN,BC
• Douglass R. Bloomfield, PH.D., P.C.
• Elisabeth Douklias, PA-C
• Doula for You LLC
• Celeste B Dove, CRNA
• Loren Temple Dove, CPNP

• Optometrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.