Individual provider Active NPI

Thomas William Voglewede, OD

  • Optometrist
  • Marion, VA
National Provider Identifier
1053304618
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601000944 Issued in VA
Practice address
1247 N Main St
Marion, VA 24354-4311
Phone
(276) 783-6262
Fax
(276) 783-2295
NPI assigned
Aug 29, 2005
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601000944 VA Primary

Addresses

Primary practice location

1247 N Main St
Marion, VA 24354-4311

Mailing address

1247 N Main St
Marion, VA 24354-4311
Phone (276) 783-6262

Other identifiers 1

IdentifierTypeStateIssuer
009204661MedicaidVA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott D. Burnop Odpc Optometrist PastSince Apr 19, 2005 Accepting new patients
Thomas William Voglewede Optometrist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1053304618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544311",
            "telephone_number": "276-783-6262",
            "fax_number": "276-783-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544311",
            "telephone_number": "276-783-6262",
            "fax_number": "276-783-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGLEWEDE",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601000944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204661",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.