Organization Active NPI

Nelson Eye Center Optometrists, Inc.

  • Optometrist
  • Lovingston, VA
National Provider Identifier
1154591071
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000296 Issued in VA
Legal business name
NELSON EYE CENTER OPTOMETRISTS, INC.
Practice address
356 Front St
Lovingston, VA 22949-0590
Phone
(434) 263-5100
Fax
(434) 263-5908
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Robert Michael Krym, O.D.NPI 1760489843
Title
President
Phone
(434) 263-5100

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000296 VA Primary

Addresses

Primary practice location

356 Front St
Lovingston, VA 22949-0590

Mailing address

PO Box 590
Lovingston, VA 22949-0590
Phone (434) 263-5100

Other identifiers 3

IdentifierTypeStateIssuer
4520080001OtherVACIGNA GOVERNMENT SERVICES
009236627MedicaidVA
410047671OtherVAPALMETTO GBA RAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1154591071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "LOVINGSTON",
            "state": "VA",
            "postal_code": "229490590",
            "telephone_number": "434-263-5100",
            "fax_number": "434-263-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 FRONT ST",
            "city": "LOVINGSTON",
            "state": "VA",
            "postal_code": "229490590",
            "telephone_number": "434-263-5100",
            "fax_number": "434-263-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON EYE CENTER OPTOMETRISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "KRYM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-263-5100",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "4520080001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009236627",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "410047671",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovingston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.