NPIMap

Organization Active NPI

Blue Ridge Eye Specialists PC

  • Ophthalmology Physician
  • Winchester, VA
National Provider Identifier
1043422314
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101040914 Issued in VA
Legal business name
BLUE RIDGE EYE SPECIALISTS PC
Practice address
420 W Jubal Early Dr
Suite 200
Winchester, VA 22601-6434
Phone
(540) 662-2700
Fax
(540) 662-8801
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Dr. Alan J Fink, M.D.NPI 1720179344
Title
President
Phone
(540) 662-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 0101040914 VA Primary

Addresses

Primary practice location

420 W Jubal Early Dr
Suite 200
Winchester, VA 22601-6434

Mailing address

420 W Jubal Early Dr
Suite 200
Winchester, VA 22601-6434
Phone (540) 662-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127001112 VA Part B Supplier - Clinic/Group Practice 1456301332 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Winchester, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

420 W Jubal Early Dr
Ste 200
Winchester, VA 22601
Phone (540) 662-2700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1043422314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W JUBAL EARLY DR",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016434",
            "telephone_number": "540-662-2700",
            "fax_number": "540-662-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W JUBAL EARLY DR",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016434",
            "telephone_number": "540-662-2700",
            "fax_number": "540-662-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE EYE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-662-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101040914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.