Stephen Wayne Record, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000233 Issued in VA

Practice address

1450 Sachem PL
Ste 202
Charlottesville, VA 22901-2554

Phone

(434) 978-4090

Fax

(434) 978-1005

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Myeyedr Optometry of Virginia PLLC

  dba MyEyeDr

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Charlottesville, VA
  • NPI 1669830295
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Charlottesville, VA
  • NPI 1205292794
  NPD (past)
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1225075732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SACHEM PL",
            "address_2": "STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012554",
            "telephone_number": "434-978-4090",
            "fax_number": "434-978-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Sachem Pl",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229012554",
            "country_code": "US",
            "telephone_number": "434-978-4090",
            "fax_number": "434-978-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECORD",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "113326",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Zane Reasoner, PA-C
• Maria Rebeiz
• Giuseppe Rebellato, D.D.S.
• Abril Dawn Reck, NP
• Carol Dibble Record, O.D.
• Rector & Visitors of the University of Virginia (Uva Specialty Pharmacy)
• Rector & Visitors of the University of Virginia (UVA Health Sciences Center)
• Rector & Visitors of the University of Virginia (UVA Health Pharmacy Ivy Road)
• Rector & Visitors of the University of Virginia (UVA Health Sciences Center)
• Rector & Visitors of the University of Virginia (Continuum Home Health Care)

• Optometrist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.