Individual provider Active NPI

Charles P. Gilchrist III, O.D.

  • Optometrist
  • Tappahannock, VA
National Provider Identifier
1245265313
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000691 Issued in VA
Practice address
402 Airport Rd
Tappahannock, VA 22560
Phone
(804) 443-5388
Fax
(804) 443-5389
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000691 VA Primary

Addresses

Primary practice location

402 Airport Rd
Tappahannock, VA 22560

Mailing address

PO Box 1290
Forest, VA 24551-1290
Phone (434) 385-5600

Other practice location 1

2010 Bremo Rd Ste 128
Richmond, VA 23226-2444
Phone (804) 285-0680

Other practice location 2

5215 Monticello Ave
Williamsburg, VA 23188-8232
Phone (757) 229-4000

Other practice location 3

611 Della Street
Tappahannock, VA 22560
Phone (044) 433-9018

Other practice location 4

1613 Hardy Cash Dr
Hampton, VA 23666-2414
Phone (757) 229-4000

Other practice location 5

2801 Boulevard Ste C
Colonial Heights, VA 23834-2323
Phone (804) 285-0680

Other practice location 6

315 Furr St
South Hill, VA 23970-9500
Phone (804) 285-0680

Other identifiers 2

IdentifierTypeStateIssuer
061320OtherVAANTHEM
009204491MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Eye Associates PC PastSince Jan 26, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1245265313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511290",
            "telephone_number": "434-385-5600",
            "fax_number": "434-455-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 AIRPORT RD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "22560",
            "telephone_number": "804-443-5388",
            "fax_number": "804-443-5389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Bremo Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262444",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 Monticello Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888232",
            "country_code": "US",
            "telephone_number": "757-229-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Della Street",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "22560",
            "country_code": "US",
            "telephone_number": "044-433-9018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 Hardy Cash Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662414",
            "country_code": "US",
            "telephone_number": "757-229-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Boulevard Ste C",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342323",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Furr St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239709500",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "CHARLES",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061320",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204491",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.