Rick L Norton, OPTICIAN
Individual provider Active NPI Optician · Wise, VA
NPI 1124052980 · NPPES record last updated Aug 15, 2008
Key facts
- NPI
- 1124052980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 1101001242 (VA)
- Practice address
- 137 Wise Co Plaza
Wise, VA 24293 - Phone
- (276) 679-5610
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101001242 | VA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vision Optical -Wise LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101001242 | VA | Yes |
Addresses
Primary practice location
137 Wise Co Plaza
Wise, VA 24293
Mailing address
PO Box 3100
Wise, VA 24293-3100
Phone (276) 679-5610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183940 | Other | VA | ANTHEM |
| 010072590 | Medicaid | VA |
Other providers in Wise, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.