Individual provider Active NPI

John A Foley Jr., M.D.

  • Ophthalmology Physician
  • Exmore, VA
National Provider Identifier
1194794289
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101036614 Issued in VA
Practice address
3297 Broad St
Exmore, VA 23350
Phone
(757) 442-3937
Fax
(757) 442-5008
NPI assigned
Mar 14, 2006
Last updated
Mar 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101036614 VA Primary

Addresses

Primary practice location

3297 Broad St
Exmore, VA 23350

Mailing address

3297 Broad St
PO Box 687
Exmore, VA 23350
Phone (757) 442-3937

Other identifiers 1

IdentifierTypeStateIssuer
6327079MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000172 VA Practitioner - Ophthalmology 1052433976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1194794289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 BROAD ST",
            "address_2": "PO BOX 687",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "23350",
            "telephone_number": "757-442-3937",
            "fax_number": "757-442-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 BROAD ST",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "23350",
            "telephone_number": "757-442-3937",
            "fax_number": "757-442-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101036614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6327079",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exmore, VA

Sources for this page

Verify at the official NPI Registry.