Individual provider Active NPI

Gemma C. Meadows, O.D.

  • Optometrist
  • Hayes, VA
National Provider Identifier
1114913381
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
#0601800455 Issued in VA
Practice address
3449 George Washington Memorial Hwy
Hayes, VA 23072-3100
Phone
(804) 642-2290
Fax
(804) 684-2166
NPI assigned
Sep 23, 2005
Last updated
May 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X #0601800455 VA Primary

Addresses

Primary practice location

3449 George Washington Memorial Hwy
Hayes, VA 23072-3100

Mailing address

3449 George Washington Memorial Hwy
Hayes, VA 23072-3100
Phone (804) 642-2290

Other identifiers 1

IdentifierTypeStateIssuer
010026920MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101211000023 VA Practitioner - Optometry 9638216609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Eye Associates, Inc. OptometristsGroup PAC ID 7911043021, 4 clinicians

Practice addresses (Care Compare)

3449 George Washington Memorial
Hayes, VA 23072-3100
Phone (804) 642-2290

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#0601800455VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Eye Associates, Inc. Optometrists Optometrist CurrentSince Aug 15, 2003 Accepting new patients

Locations

3449 George Washington Memorial Hwy
Hayes, VA 23072
Phone (804) 642-2290

1322 Jamestown Rd
Williamsburg, VA 23185

5251 John Tyler Hwy
Ste 7
Williamsburg, VA 23185
Phone (757) 229-8660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1114913381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230723100",
            "telephone_number": "804-642-2290",
            "fax_number": "804-684-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230723100",
            "telephone_number": "804-642-2290",
            "fax_number": "804-684-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "GEMMA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "#0601800455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010026920",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayes, VA

Sources for this page

Verify at the official NPI Registry.