NPIMap

Organization Active NPI

Optometric Associates

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1184837825
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601001000 Issued in VA
Legal business name
OPTOMETRIC ASSOCIATES
Practice address
4802 Valley View Blvd NW
Roanoke, VA 24012-2001
Phone
(540) 362-4477
Fax
(540) 362-1757
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. James Zimmerman, O.D.
Title
Optometrist Part Owner
Phone
(856) 848-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0601000680 VA
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0601001000 VA Primary

Addresses

Primary practice location

4802 Valley View Blvd NW
Roanoke, VA 24012-2001

Mailing address

4802 Valley View Blvd NW
Roanoke, VA 24012-2001
Phone (540) 362-4477

National Provider Directory

National Provider Directory
Tax ID family
Optometric Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1184837825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122001",
            "telephone_number": "540-362-4477",
            "fax_number": "540-362-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122001",
            "telephone_number": "540-362-4477",
            "fax_number": "540-362-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST PART OWNER",
        "authorized_official_telephone_number": "856-848-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601000680",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 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.