Individual provider Active NPI

Katye Ann Preusser

  • Optician
  • Lynchburg, VA
National Provider Identifier
1053186049
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101004518 Issued in VA
Practice address
3227 Old Forest Rd
Lynchburg, VA 24501-2325
Phone
(434) 200-9284
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101004518 VA Primary

Addresses

Primary practice location

3227 Old Forest Rd
Lynchburg, VA 24501-2325

Mailing address

66 Mulberry Cir
Lynchburg, VA 24502-3487
Phone (434) 420-3577

Other names 1

  • Katye Ann Preusser Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101004518VAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1053186049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MULBERRY CIR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023487",
            "telephone_number": "434-420-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 OLD FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012325",
            "telephone_number": "434-200-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREUSSER",
        "first_name": "KATYE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101004518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATYE",
            "last_name": "PREUSSER",
            "middle_name": "ANN",
            "credential": "LICENSED OPTICIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.