Organization Active NPI

Eyecare Salem, Inc

Doing business as Invision

  • Optometrist
  • Salem, VA
National Provider Identifier
1073545539
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE SALEM, INC
Doing business as
Invision
Practice address
115 Roanoke Blvd
Salem, VA 24153-4907
Phone
(540) 387-1183
NPI assigned
Jul 7, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mrs. Tammy B Chitwood
Title
Insurace Administrator
Phone
(540) 387-1183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

115 Roanoke Blvd
Salem, VA 24153-4907

Mailing address

115 Roanoke Blvd
Salem, VA 24153-4907
Phone (540) 387-1183

Other identifiers 1

IdentifierTypeStateIssuer
461360OtherANTHEM

Other names 1

  • Invision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060418000450 VA Part B Supplier - Clinic/Group Practice 4688683741 Receives reassigned benefits from 5 practitioners
Practice locations: Salem, VA

National Provider Directory

National Provider Directory

Locations

101 W 4th St
Salem, VA 24153
Phone (540) 387-1183

Interoperability endpoints

  • Direct secure messaging: kpalmer@invisionsalem.eyefinity-direct.com
  • Direct secure messaging: tpoling@invisionsalem.eyefinity-direct.com
  • Direct secure messaging: drscottmann@invisionsalem.eyefinity-direct.com
  • Direct secure messaging: jgudeman@invisionsalem.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1073545539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534907",
            "telephone_number": "540-387-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534907",
            "telephone_number": "540-387-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE SALEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "CHITWOOD",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "INSURACE ADMINISTRATOR",
        "authorized_official_telephone_number": "540-387-1183",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "461360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.