Active NPI
National Optometric Center PLC
- Optometrist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000577
- Legal business name
- NATIONAL OPTOMETRIC CENTER PLC
- Practice address
- 1507 Hershberger Rd NW
Unit C
Roanoke, VA 24012-7319 - Phone
- (540) 362-1030
- Fax
- (540) 362-5574
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy R Cox, LDO
- Title
- Manager / Optician
- Phone
- (540) 362-1030
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000577 | VA | Primary |
Addresses
Primary practice location
1507 Hershberger Rd NW
Unit C
Roanoke, VA 24012-7319
Mailing address
1507 Hershberger Rd NW
Unit C
Roanoke, VA 24012-7319
Phone (540) 362-1030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184679052 | Medicaid | VA | |
| 009235787 | Medicaid | VA |
Other names 1
- National Optometric Center PLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171213003285 | VA | Part B Supplier - Clinic/Group Practice | 5991063273 |
Receives reassigned benefits from 2 practitioners Practice locations: Ridgeway, VA; Roanoke, VA; Vinton, VA |
National Provider Directory
National Provider DirectoryLocations
4960 Greensboro Rd
Ste 5
Ridgeway, VA 24148
Phone (276) 638-1149
3532 Electric Rd
Roanoke, VA 24018
Phone (540) 776-2930
1507 Hershberger Rd NW
Ste C
Roanoke, VA 24012
Phone (540) 362-0300
5002 Airport Rd NW
Roanoke, VA 24012
Phone (540) 362-1030
1507 Hershberger Rd NW
Roanoke, VA 24012
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Roanoke, VA
- NPI 1881750719
-
- Optometrist
- Charlottesville, VA
- NPI 1225000615
-
- Optometrist
- Floyd, VA
- NPI 1275504367
-
- Corneal and Contact Management Optometrist
- Blacksburg, VA
- NPI 1235144106
Optometrist
-
- Chiropractor
- Vinton, VA
- NPI 1396728317
-
- Optometrist
- High Point, NC
- NPI 1285686857
-
- Optometrist
- Sweetwater, TN
- NPI 1639308778
-
- Optometrist
- Fort Meade, MD
- NPI 1508845108
-
- Optometrist
- Tupelo, MS
- NPI 1902875602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513555200000",
"number": "1184679052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 HERSHBERGER RD NW",
"address_2": "UNIT C",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240127319",
"telephone_number": "540-362-1030",
"fax_number": "540-362-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 HERSHBERGER RD NW",
"address_2": "UNIT C",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240127319",
"telephone_number": "540-362-1030",
"fax_number": "540-362-5574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL OPTOMETRIC CENTER PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2017-12-18",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGER / OPTICIAN",
"authorized_official_telephone_number": "540-362-1030",
"authorized_official_credential": "LDO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618000577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184679052",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009235787",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "National Optometric Center PLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.