Advanced Health Concepts

Primary specialty

OptometristTaxonomy code 152W00000X

License

06128002036 Issued in VA

Legal business name

ADVANCED HEALTH CONCEPTS

Doing business as

DBA Spectrum Optometric Services

Practice address

11500 Midlothian Tpke
Outside JC Penney
North Chesterfield, VA 23235-4780

Phone

(804) 457-8733

NPI assigned

Oct 25, 2011

Last updated

Oct 23, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVANCED HEALTH CONCEPTSAs reported in NPPES

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

Authorized official

Name

Dr. Lisa M Bennett, O.D.

Title

President

Phone

(917) 304-7854

Specialties & licenses 1

Addresses

Other names 1

• DBA Spectrum Optometric Services Doing business as

Part of

Advanced Health Concepts

Locations

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1104102946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73293",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358029",
            "telephone_number": "917-304-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 MIDLOTHIAN TPKE",
            "address_2": "OUTSIDE JC PENNEY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354780",
            "telephone_number": "804-457-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CONCEPTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED HEALTH CONCEPTS",
        "enumeration_date": "2011-10-25",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-304-7854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "06128002036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Spectrum Optometric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.