Individual provider Active NPI

Charles Michael Owens, O.D.

  • Optometrist
  • Abingdon, VA
National Provider Identifier
1336174259
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000347 Issued in VA
Practice address
340 W Main St
Abingdon, VA 24210-2624
Phone
(276) 628-3118
Fax
(276) 628-8342
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000347 VA Primary

Addresses

Primary practice location

340 W Main St
Abingdon, VA 24210-2624

Mailing address

340 W Main St
Abingdon, VA 24210-2624
Phone (276) 628-3118

Other identifiers 1

IdentifierTypeStateIssuer
009236341MedicaidVA

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
I20100405000128 VA Practitioner - Optometry 4688770464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Southwest Virginia P CGroup PAC ID 3173562808, 8 clinicians

Practice addresses (Care Compare)

340 W Main St
Abingdon, VA 24210-2624
Phone (276) 628-3118

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
94.11
Improvement activities
40
Cost
73.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000347VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Southwest Virginia P C CurrentSince Jan 2, 2015 Accepting new patients
Eye Physicians of Southwest Virginia PC CurrentSince May 22, 2022 Accepting new patients
Eye Physicians Optical Center Past Accepting new patients

Locations

328 Cummings St
Ste A
Abingdon, VA 24210
Phone (276) 477-4600

340 W Main St
Abingdon, VA 24210
Phone (276) 628-3118

761 Commonwealth Ave
Bristol, VA 24201
Phone (276) 466-3420

5057 Dickenson Hwy
Clintwood, VA 24228
Phone (276) 365-6079

1128 N Main St
Ste B
Marion, VA 24354

1128 N Main St
Marion, VA 24354
Phone (276) 783-6131

Interoperability endpoints

  • Direct secure messaging: owensc@eyephysiciansofswva.updoxdirect.com

Organizations & group practices 3

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": "1651708800000",
    "number": "1336174259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102624",
            "telephone_number": "276-628-3118",
            "fax_number": "276-628-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102624",
            "telephone_number": "276-628-3118",
            "fax_number": "276-628-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009236341",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.