Individual provider Active NPI

Cynthia Dawn Inman, O.D.

  • Optometrist
  • Wytheville, VA
National Provider Identifier
1215950472
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
993-OD Issued in WV
Practice address
530 W Ridge Rd
Wytheville, VA 24382-1188
Phone
(276) 223-0033
NPI assigned
Jul 26, 2006
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 993-OD WV Primary

Addresses

Primary practice location

530 W Ridge Rd
Wytheville, VA 24382-1188

Mailing address

261 Mercer Mall Rd
Suite 802
Bluefield, WV 24701-9098
Phone (304) 327-0207

Other practice location 1

261 Mercer Mall Rd
Suite 802
Bluefield, WV 24701-9098
Phone (304) 327-0207

Other identifiers 4

IdentifierTypeStateIssuer
P00072518OtherWVUNITED HEALTHCARE
3102055 000MedicaidWV
010050651MedicaidVA
131471OtherWVUMWA

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
I20170920000442 VA Practitioner - Optometry 2860380615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Wythe Eye Associates Amanda Brewer-Smith OD IncGroup PAC ID 1153370531, 5 clinicians

Practice addresses (Care Compare)

530 W Ridge Rd
Wytheville, VA 24382-1848
Phone (276) 223-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
993-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe Eye Associates Amanda Brewer-Smith OD Inc Optometrist CurrentSince Aug 21, 2017 Accepting new patients

Locations

14 Westwood Medical Park
Bluefield, VA 24605
Phone (276) 322-7335

952 E Stuart Dr
Galax, VA 24333
Phone (276) 236-4673

1510 Bob White Blvd
Pulaski, VA 24301
Phone (540) 980-1965

334 N Washington Ave
Pulaski, VA 24301
Phone (540) 980-5890

530 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-0033

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1215950472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MERCER MALL RD",
            "address_2": "SUITE 802",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247019098",
            "telephone_number": "304-327-0207",
            "fax_number": "304-324-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821188",
            "telephone_number": "276-223-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 Mercer Mall Rd",
            "address_2": "Suite 802",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247019098",
            "country_code": "US",
            "telephone_number": "304-327-0207",
            "fax_number": "304-324-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INMAN",
        "first_name": "CYNTHIA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "993-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "P00072518",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102055 000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050651",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "131471",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.