NPIMap

Organization Active NPI

Augusta Eye Associates, PLC

  • Durable Medical Equipment & Medical Supplies
  • Charlottesville, VA
National Provider Identifier
1316254279
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0101840518 Issued in VA
Legal business name
AUGUSTA EYE ASSOCIATES, PLC
Practice address
676A Berkmar Circle
Charlottesville, VA 22901-1464
Phone
(434) 220-3420
Fax
(434) 220-3422
NPI assigned
Sep 13, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Mrs. Laura M Talley, OCS
Title
Client Services Coordinator
Phone
(540) 213-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0101840518 VA Primary

Addresses

Primary practice location

676A Berkmar Circle
Charlottesville, VA 22901-1464

Mailing address

17 N Medical Park Dr
Fishersville, VA 22939-2344
Phone (540) 213-7720

Other identifiers 1

IdentifierTypeStateIssuer
1982613576MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Augusta Eye Associates PLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1316254279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392344",
            "telephone_number": "540-213-7720",
            "fax_number": "540-213-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676A BERKMAR CIRCLE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-220-3420",
            "fax_number": "434-220-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA EYE ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLIENT SERVICES COORDINATOR",
        "authorized_official_telephone_number": "540-213-7725",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OCS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0101840518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982613576",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.