Active NPI
Bruce A Kiraly, O.D.
- Optometrist
- Midlothian, VA
National Provider Identifier
1104906387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000178
- Practice address
- 14431 Sommerville CT
Ste B
Midlothian, VA 23113-6812 - Phone
- (804) 888-8998
- Fax
- (804) 888-8999
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000178 | VA | Primary |
Addresses
Primary practice location
14431 Sommerville CT
Ste B
Midlothian, VA 23113-6812
Mailing address
3601 Grove Ave
Richmond, VA 23221-2201
Phone (804) 358-8443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000178 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grove Ave Eye Center PC | Optometrist | Current | Accepting new patients |
| Jenny Alsop, OD PLLC | Optometrist | Past | Accepting new patients |
Locations
14431 Sommerville Ct
Ste B
Midlothian, VA 23113
Phone (804) 358-8443
3601 Grove Ave
Richmond, VA 23221
Phone (804) 353-3937
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 and National Provider Directory roles.
-
- Optometrist
- Richmond, VA
- NPI 1801976097
-
- Optometrist
- Midlothian, VA
- NPI 1790023331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1104906387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 GROVE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232212201",
"telephone_number": "804-358-8443",
"fax_number": "804-358-1395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14431 SOMMERVILLE CT",
"address_2": "STE B",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136812",
"telephone_number": "804-888-8998",
"fax_number": "804-888-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRALY",
"first_name": "BRUCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.