Active NPI
Patricia Guin Edwards, OPTICIAN
- Optician
- Richmond, VA
National Provider Identifier
1053576637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1101 001595
- Practice address
- 1336 Gaskins Rd
Richmond, VA 23238-4919 - Phone
- (804) 741-4218
- NPI assigned
- Jul 23, 2008
- Last updated
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101 001595 | VA | Primary |
Addresses
Primary practice location
1336 Gaskins Rd
Richmond, VA 23238-4919
Mailing address
1336 Gaskins Rd
Richmond, VA 23238-4919
Phone (804) 741-4218
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1101 001595 | VA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contact Lens Specialist | Past | Accepting new patients |
Organizations & group practices 1
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": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1053576637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 GASKINS RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232384919",
"telephone_number": "804-741-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 GASKINS RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232384919",
"telephone_number": "804-741-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "PATRICIA",
"middle_name": "GUIN",
"name_prefix": "Miss",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "1101 001595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.