Organization Active NPI

Peter E. Wilcox, OD, PLC

Doing business as Wilcox Eye Center

  • Optometrist
  • Hayes, VA
National Provider Identifier
1144250804
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0603000338 Issued in VA
Legal business name
PETER E. WILCOX, OD, PLC
Doing business as
Wilcox Eye Center
Practice address
2652 George Washington Memorial Hwy
Hayes, VA 23072-3464
Phone
(804) 642-9800
Fax
(804) 642-0334
NPI assigned
Jul 5, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Peter E Wilcox, DOCTORNPI 1265435283
Title
Doctor/Owner
Phone
(804) 642-9800

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)CodeLicenseStatePrimary
Optometrist 152W00000X 0603000338 VA Primary

Addresses

Primary practice location

2652 George Washington Memorial Hwy
Hayes, VA 23072-3464

Mailing address

2652 George Washington Memorial Hwy
Hayes, VA 23072-3464
Phone (804) 642-9800

Other names 1

  • Wilcox Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000712 VA Part B Supplier - Clinic/Group Practice 5799705026 Receives reassigned benefits from 1 practitioner
Practice locations: Hayes, VA

National Provider Directory

National Provider Directory

Locations

2652 George Washington Memorial Hwy
Hayes, VA 23072
Phone (804) 642-9800

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1144250804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230723464",
            "telephone_number": "804-642-9800",
            "fax_number": "804-642-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230723464",
            "telephone_number": "804-642-9800",
            "fax_number": "804-642-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER E. WILCOX, OD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "804-642-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilcox Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayes, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.

Verify at the official NPI Registry.