NPIMap

Organization Active NPI

Phillip D. Rhoads, OD, PC.

  • Optometrist
  • Winchester, VA
National Provider Identifier
1124294251
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000568 Issued in VA
Legal business name
PHILLIP D. RHOADS, OD, PC.
Practice address
40B Weems LN
Winchester, VA 22601-3602
Phone
(540) 662-4463
Fax
(540) 662-4460
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Phillip Dwight Rhoads, O.D
Title
Dr/Owner
Phone
(540) 662-4463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000568 VA Primary

Addresses

Primary practice location

40B Weems LN
Winchester, VA 22601-3602

Mailing address

40B Weems LN
Winchester, VA 22601-3602
Phone (540) 662-4463

Other identifiers 1

IdentifierTypeStateIssuer
009230068MedicaidVA

National Provider Directory

National Provider Directory

Locations

40 Weems Ln
#B
Winchester, VA 22601
Phone (540) 662-4463

40B Weems Ln
Winchester, VA 22601
Phone (540) 662-4463

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1124294251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40B WEEMS LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013602",
            "telephone_number": "540-662-4463",
            "fax_number": "540-662-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40B WEEMS LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013602",
            "telephone_number": "540-662-4463",
            "fax_number": "540-662-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP D. RHOADS, OD, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "RHOADS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "540-662-4463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009230068",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.