Active NPI
DRS. Lundberg and Lodwick, Optometrists PC
Doing business as Williamsburg Eye Care
- Optometrist
- Williamsburg, VA
National Provider Identifier
1114070869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1367
- Legal business name
- DRS. LUNDBERG AND LODWICK, OPTOMETRISTS PC
- Doing business as
- Williamsburg Eye Care
- Practice address
- 101 Bulifants Blvd Ste a
Williamsburg, VA 23188-5721 - Phone
- (757) 564-1907
- Fax
- (757) 564-1913
- NPI assigned
- Jan 18, 2007
- Last updated
- Jan 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Kenneth Lodwick, O.D.
- Title
- Owner-Partner
- Phone
- (757) 564-1907
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1367 | VA | Primary |
Addresses
Primary practice location
101 Bulifants Blvd Ste a
Williamsburg, VA 23188-5721
Mailing address
101 Bulifants Blvd Ste a
Williamsburg, VA 23188-5721
Phone (757) 564-1907
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120419 | Other | VA | RICHARD LODWICK, OD MAMSI |
| 9230491 | Medicaid | VA | |
| 9552508 | Other | VA | RICHARD LODWICK, OD CIGNA |
| 76039 | Other | VA | RICHARD LODWICK OD OPTIMA |
| 1215012679 | Other | VA | PAMELA LUNDBERG, OD NPI |
| 1346269560 | Other | VA | RICHARD LODWICK, OD NPI |
| 124444 | Other | VA | PAMELA LUNDBERG OD OPTIMA |
| 010050308 | Medicaid | VA | |
| 238395 | Other | VA | PAMELA LUNDBERG, OD MAMSI |
| 2894306 | Other | VA | PAMELA LUNDBERG, OD CIGNA |
Other names 1
- Williamsburg Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Bulifants Blvd
Ste A
Williamsburg, VA 23188
Phone (757) 564-1907
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Williamsburg, VA
- NPI 1346269560
-
- Optometrist
- Yorktown, VA
- NPI 1306030408
-
- Optometrist
- Williamsburg, VA
- NPI 1215012679
-
- Optometrist
- Norfolk, VA
- NPI 1497744791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231718400000",
"number": "1114070869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BULIFANTS BLVD STE A",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885721",
"telephone_number": "757-564-1907",
"fax_number": "757-564-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BULIFANTS BLVD STE A",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885721",
"telephone_number": "757-564-1907",
"fax_number": "757-564-1913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. LUNDBERG AND LODWICK, OPTOMETRISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2009-01-12",
"status": "A",
"authorized_official_last_name": "LODWICK",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "OWNER-PARTNER",
"authorized_official_telephone_number": "757-564-1907",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "1367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RICHARD LODWICK, OD MAMSI",
"identifier": "2120419",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9230491",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RICHARD LODWICK, OD CIGNA",
"identifier": "9552508",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RICHARD LODWICK OD OPTIMA",
"identifier": "76039",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAMELA LUNDBERG, OD NPI",
"identifier": "1215012679",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RICHARD LODWICK, OD NPI",
"identifier": "1346269560",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAMELA LUNDBERG OD OPTIMA",
"identifier": "124444",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010050308",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAMELA LUNDBERG, OD MAMSI",
"identifier": "238395",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAMELA LUNDBERG, OD CIGNA",
"identifier": "2894306",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Williamsburg Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.