NPIMap

Organization Active NPI

Lewis-Gale Physicians, LLC

  • Ophthalmology Physician
  • Radford, VA
National Provider Identifier
1184728503
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101044009 Issued in VA
Legal business name
LEWIS-GALE PHYSICIANS, LLC
Practice address
614 E Main St
Radford, VA 24141-1786
Phone
(540) 639-2723
Fax
(540) 639-6805
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Otis W Blackwood
Title
Practice Administrator
Phone
(540) 772-3672

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X 0101048225 VA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 0101044009 VA Primary

Addresses

Primary practice location

614 E Main St
Radford, VA 24141-1786

Mailing address

614 E Main St
Radford, VA 24141-1786
Phone (540) 639-2723

National Provider Directory

National Provider Directory
Tax ID family
Lewis-Gale Physicians LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184728503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411786",
            "telephone_number": "540-639-2723",
            "fax_number": "540-639-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411786",
            "telephone_number": "540-639-2723",
            "fax_number": "540-639-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS-GALE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "540-772-3672"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101048225",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101044009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.