Elkton Eyecare LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0618002012 Issued in VA

Legal business name

ELKTON EYECARE LLC

Practice address

304 W Spotswood Ave
Elkton, VA 22827-1100

Phone

(540) 298-1671

NPI assigned

Aug 17, 2011

Last updated

Aug 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lee W Robertson, O.D.NPI 1215188255

Title

Owner

Phone

(540) 298-1671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Lee William Robertson, O.D.

  • Optometrist
  • Elkton, VA
  • NPI 1215188255
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1306126743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W SPOTSWOOD AVE",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228271100",
            "telephone_number": "540-298-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W SPOTSWOOD AVE",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228271100",
            "telephone_number": "540-298-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKTON EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-298-1671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "0618002012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deonna Lynn Dearing, FNP-C
• Drayer Physical Therapy Institute, LLC
• Drayer PT of VA LLC
• DRS Downey&Veith Optometrist
• Emma Joan Dulin
• Elkton Family and Childrens Medical Clinic
• Kesha D Gandhi
• Leslie S. Hall, RN, ENP
• Samantha Ann Hammer, COTA/L
• Harrisonburg Community Health Center (Community Health Center of Elkton)

• Eyewear Supplier in Elkton, VA
• Providers in Elkton, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.