Active NPI
Vision Innovation Centers of Virginia LLC
- Optician
- Fredericksburg, VA
National Provider Identifier
1194453092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- VISION INNOVATION CENTERS OF VIRGINIA LLC
- Practice address
- 12 Chatham Heights Rd Ste 100
Fredericksburg, VA 22405-2593 - Phone
- (540) 371-2777
- NPI assigned
- Aug 10, 2022
- 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
- Maria C Scott
- Title
- MD Owner
- Phone
- (410) 571-7998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
12 Chatham Heights Rd Ste 100
Fredericksburg, VA 22405-2593
Mailing address
PO Box 392908
Pittsburgh, PA 15251-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220926001075 | VA | DME Supplier - Physician - Optometrist | 4981096864 | Practice locations: Fredericksburg, VA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ophthalmology Physician
- Fredericksburg, VA
- NPI 1760142004
4981096864
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Arlington, VA
- NPI 1306012950
-
- Optometrist
- Fredericksburg, VA
- NPI 1073296273
-
- Optometrist
- Fredericksburg, VA
- NPI 1275537771
-
- Ophthalmology Physician
- Fredericksburg, VA
- NPI 1578554739
-
- Ophthalmology Physician
- Fredericksburg, VA
- NPI 1699360800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660089600000",
"number": "1194453092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392908",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CHATHAM HEIGHTS RD STE 100",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224052593",
"telephone_number": "540-371-2777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION INNOVATION CENTERS OF VIRGINIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "410-571-7998"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Virginia Vascular Imaging LLC
- Jasmine K Virk, MD
- Visavis Health Care Medical Group of VA LLC
- Vision Health Center O.D. P.L.L.C.
- Vision in Action LLC
- Vision Innovation Centers of Virginia LLC
- Visiting Nurse Service of Fredericksburg,Inc..
- Sarah Vitaletti, NP-C
- Paul Lawrence Vitsky, DDS
- Clint R Vogel, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.