Active NPI
The Optical Gallery
- Optician
- Ruther Glen, VA
National Provider Identifier
1033239017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1101 002527
- Legal business name
- THE OPTICAL GALLERY
- Practice address
- 17484 D Center Drive
Ruther Glen, VA 22546-2839 - Phone
- (804) 448-0900
- Fax
- (804) 448-4470
- NPI assigned
- Mar 31, 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
- Ms. Sheila Baxter Yackel, R.O,
- Title
- Optician Owner
- Phone
- (804) 448-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101 002527 | VA | Primary |
Addresses
Primary practice location
17484 D Center Drive
Ruther Glen, VA 22546-2839
Mailing address
17484 D Center Drive
Ruther Glen, VA 22546-2839
Phone (804) 448-0900
National Provider Directory
National Provider DirectoryLocations
17484 Center Dr
#D
Ruther Glen, VA 22546
Phone (804) 448-0900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1033239017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17484 D CENTER DRIVE",
"city": "RUTHER GLEN",
"state": "VA",
"postal_code": "225462839",
"telephone_number": "804-448-0900",
"fax_number": "804-448-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17484 D CENTER DRIVE",
"city": "RUTHER GLEN",
"state": "VA",
"postal_code": "225462839",
"telephone_number": "804-448-0900",
"fax_number": "804-448-4470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE OPTICAL GALLERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-31",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "YACKEL",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "BAXTER",
"authorized_official_title_or_position": "OPTICIAN OWNER",
"authorized_official_telephone_number": "804-448-0900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.O,"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "1101 002527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruther Glen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.