Organization Active NPI

Looney Enterprises LLC

  • Optometrist
  • Richlands, VA
National Provider Identifier
1174033377
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000677 Issued in VA
Legal business name
LOONEY ENTERPRISES LLC
Practice address
125 Suffolk Ave
Richlands, VA 24641-2434
Phone
(276) 963-0808
NPI assigned
Oct 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Dr. Brian D Looney, OD
Title
President/Member
Phone
(304) 436-8435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 0618000677 VA Primary

Addresses

Primary practice location

125 Suffolk Ave
Richlands, VA 24641-2434

Mailing address

PO Box 901
Grundy, VA 24614-0901
Phone (276) 244-0171

National Provider Directory

National Provider Directory

Locations

125 Suffolk Ave
Richlands, VA 24641
Phone (276) 963-0808

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1174033377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246140901",
            "telephone_number": "276-244-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SUFFOLK AVE",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412434",
            "telephone_number": "276-963-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOONEY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "LOONEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "304-436-8435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.