Inderpreet Kaur Datta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001963 Issued in VA

Practice address

204 Johnson Creek Dr
Chester, VA 23836-2840

Phone

(804) 530-3937

Fax

(804) 530-3934

NPI assigned

Jul 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Inderpreet Kaur Grover Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Visioncare PLLCGroup PAC ID 7911122809, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Visioncare, PLLC

  • Optometrist
  • Chester, VA
  • NPI 1932544129
  Medicare reassignment Care Compare group NPD Authorized official
• Chesterfield Optometric Center, PC

  • Optometrist
  • Chesterfield, VA
  • NPI 1477698819
  NPD (past)
• Gregory P. Jellenek, OD & Associates, PC

  • Optometrist
  • Newport News, VA
  • NPI 1144259250
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1164735338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 DRUMONE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231125533",
            "telephone_number": "804-530-3937",
            "fax_number": "804-530-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JOHNSON CREEK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362840",
            "telephone_number": "804-530-3937",
            "fax_number": "804-530-3934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9440 Iron Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238326601",
            "country_code": "US",
            "telephone_number": "804-748-4877 x181",
            "fax_number": "804-796-9168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DATTA",
        "first_name": "INDERPREET",
        "middle_name": "KAUR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618001963",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "VA",
            "license": "0618001963",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "VA",
            "license": "0618001963",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDERPREET",
            "last_name": "GROVER",
            "middle_name": "KAUR",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crown RX Inc.
• Kara Cunningham, NP
• D & P Lending a Helping Hand LLC.
• Rachael M Daniels, CPNP
• Raven Denita Daniels, LPC
• Davenport Adult and Geriatric Wellness
• David N. Brown, LCSW LLC
• David R Ferry DDS PC
• David R. Beam and Associates,LTD
• David R. Ferry D.D.S., P.C.

• Optometrist in Chester, VA
• Providers in Chester, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.