Organization Active NPI

The Optical Gallery

  • Optician
  • Ruther Glen, VA
National Provider Identifier
1033239017
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101 002527 Issued in VA
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

Updated by the provider on Aug 12, 2008

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.