Organization Active NPI

Charles P. Gilchrist, O.D., Inc

  • Optometrist
  • Tappahannock, VA
National Provider Identifier
1124267190
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000691 Issued in VA
Legal business name
CHARLES P. GILCHRIST, O.D., INC
Practice address
402 Airport Road
Tappahannock, VA 22560-1137
Phone
(804) 443-5388
Fax
(804) 443-5389
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Dr. Charles P Gilchrist III, O.D.
Title
President
Phone
(804) 443-5388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000691 VA Primary

Addresses

Primary practice location

402 Airport Road
Tappahannock, VA 22560-1137

Mailing address

PO Box 1137
Tappahannock, VA 22560-1137
Phone (804) 443-5388

Other identifiers 5

IdentifierTypeStateIssuer
VA0691OtherVAEYEMED
40376OtherDAVIS VISION
8044435388OtherVSP
071498OtherVAANTHEM
009204491MedicaidVA

National Provider Directory

National Provider Directory

Locations

402 Airport Rd
Tappahannock, VA 22560
Phone (804) 443-5388

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1124267190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225601137",
            "telephone_number": "804-443-5388",
            "fax_number": "804-443-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 AIRPORT ROAD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225601137",
            "telephone_number": "804-443-5388",
            "fax_number": "804-443-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P. GILCHRIST, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-443-5388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "VA0691",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "40376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "8044435388",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "071498",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204491",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.