NPIMap

Organization Active NPI

Dr Kristine Hue Van and Associates Inc

  • Optometrist
  • Richmond, VA
National Provider Identifier
1275833519
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001802 Issued in VA
Legal business name
DR KRISTINE HUE VAN AND ASSOCIATES INC
Practice address
1601 Willow Lawn Dr
Suite 254
Richmond, VA 23230-3427
Phone
(804) 288-2202
Fax
(804) 282-9155
NPI assigned
Nov 2, 2010
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Dr. Kristine Hue T. Van, O.D.NPI 1457504821
Title
President
Phone
(804) 288-2202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001802 VA Primary

Addresses

Primary practice location

1601 Willow Lawn Dr
Suite 254
Richmond, VA 23230-3427

Mailing address

4412 Oxbridge Rd
Richmond, VA 23236-1040
Phone (804) 288-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110310000834 VA Part B Supplier - Clinic/Group Practice 8921280033 Receives reassigned benefits from 4 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

1601 Willow Lawn Dr
Ste 224
Richmond, VA 23230

1601 Willow Lawn Dr
Ste 254
Richmond, VA 23230
Phone (804) 288-2202

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1275833519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 OXBRIDGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232361040",
            "telephone_number": "804-288-2202",
            "fax_number": "804-282-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WILLOW LAWN DR",
            "address_2": "SUITE 254",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303427",
            "telephone_number": "804-288-2202",
            "fax_number": "804-282-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KRISTINE HUE VAN AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "KRISTINE HUE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-288-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.