Individual provider Active NPI

David Aaron Tufts, O.D.

  • Optometrist
  • Winchester, VA
National Provider Identifier
1265467419
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000478 Issued in VA
Practice address
650 Cedar Creek Grade
Suite 114
Winchester, VA 22601-6452
Phone
(540) 662-0222
Fax
(540) 662-9365
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000478 VA Primary

Addresses

Primary practice location

650 Cedar Creek Grade
Suite 114
Winchester, VA 22601-6452

Mailing address

650 Cedar Creek Grade
Suite 114
Winchester, VA 22601-6452
Phone (540) 662-0222

Other identifiers 3

IdentifierTypeStateIssuer
214304OtherVABLUE CROSS BLUE SHIELD
009230530MedicaidVA
436336OtherVAMAMSI

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
I20080609000362 VA Practitioner - Optometry 1052481694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1265467419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE",
            "address_2": "SUITE 114",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016452",
            "telephone_number": "540-662-0222",
            "fax_number": "540-662-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE",
            "address_2": "SUITE 114",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016452",
            "telephone_number": "540-662-0222",
            "fax_number": "540-662-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFTS",
        "first_name": "DAVID",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "214304",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009230530",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "436336",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.