Individual provider Active NPI

Carl Stanley Partain, O.D.

  • Optometrist
  • Lexington, VA
National Provider Identifier
1205869450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601001022 Issued in VA
Practice address
1233 N Lee Hwy
Lexington, VA 24450-3307
Phone
(540) 463-2611
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601001022 VA Primary

Addresses

Primary practice location

1233 N Lee Hwy
Lexington, VA 24450-3307

Mailing address

5 Augusta CT
Lexington, VA 24450-1860
Phone (540) 463-2611

Other identifiers 1

IdentifierTypeStateIssuer
9236023MedicaidVA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308001062 VA Practitioner - Optometry 5991987141 Practice locations: Covington, VA; Lexington, VA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1233 N Lee Hwy
Lexington, VA 24450

1233 N Lee Hwy
Lexington, VA 24450-3307
Phone (540) 463-2611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0601001022VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205869450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AUGUSTA CT",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244501860",
            "telephone_number": "540-463-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N LEE HWY",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503307",
            "telephone_number": "540-463-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTAIN",
        "first_name": "CARL",
        "middle_name": "STANLEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9236023",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.