Organization Active NPI

Central Vision, P.C.

  • Optometrist
  • Danville, VA
National Provider Identifier
1104939016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001223 Issued in VA
Legal business name
CENTRAL VISION, P.C.
Practice address
625 Piney Forest Rd
Suite 208
Danville, VA 24540-2867
Phone
(434) 797-2606
Fax
(434) 797-2606
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Waiyen Chin, O.D.NPI 1285634386
Title
Optometrist/ President
Phone
(434) 797-2606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001223 VA Primary

Addresses

Primary practice location

625 Piney Forest Rd
Suite 208
Danville, VA 24540-2867

Mailing address

625 Piney Forest Rd
Suite 208
Danville, VA 24540-2867
Phone (434) 797-2606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000613 VA Part B Supplier - Clinic/Group Practice 7911952429 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Locations

513 Piney Forest Rd
Danville, VA 24540
Phone (434) 793-0900

625 Piney Forest Rd
Ste 208
Danville, VA 24540
Phone (434) 797-2606

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104939016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD",
            "address_2": "SUITE 208",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402867",
            "telephone_number": "434-797-2606",
            "fax_number": "434-797-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD",
            "address_2": "SUITE 208",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402867",
            "telephone_number": "434-797-2606",
            "fax_number": "434-797-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VISION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "WAIYEN",
        "authorized_official_title_or_position": "OPTOMETRIST/ PRESIDENT",
        "authorized_official_telephone_number": "434-797-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.