Active NPI
Cynthia Dawn Inman, O.D.
- Optometrist
- Wytheville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 993-OD
- Practice address
- 530 W Ridge Rd
Wytheville, VA 24382-1188 - Phone
- (276) 223-0033
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00072518 | Other | WV | UNITED HEALTHCARE |
| 3102055 000 | Medicaid | WV | |
| 010050651 | Medicaid | VA | |
| 131471 | Other | WV | UMWA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 993-OD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wythe Eye Associates Amanda Brewer-Smith OD Inc | Optometrist | Current | 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.
-
- Optometrist
- Wytheville, VA
- NPI 1598820680
-
- Optometrist
- Bluefield, WV
- NPI 1649293473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.