DVC of Virginia PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DVC OF VIRGINIA PC

Doing business as

Doctors Vision Center

Practice address

540 Lew Dewitt Boulevard
Suite 5
Waynesboro, VA 22980

Phone

(540) 943-7486

Fax

(540) 942-2251

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Tina M Burgess

Title

Credentialing Specialist

Phone

(252) 442-0802

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Doctors Vision Center Doing business as

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1336197540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LEW DEWITT BOULEVARD",
            "address_2": "SUITE 5",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-943-7486",
            "fax_number": "540-942-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LEW DEWITT BOULEVARD",
            "address_2": "SUITE 5",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-943-7486",
            "fax_number": "540-942-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVC OF VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "252-442-0802"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOWAK RRMCR INDIVIDUAL NUMBER",
            "identifier": "P00753364",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010257468",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "189926",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAY GROUP RRMCR NUMBER",
            "identifier": "DG0209",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabitha Annette Douglass
• Terry Adrian Droppleman, RPH
• Laura Linn Dryer
• Kathleen Sabina Dunbar, M.D.
• Michele Main Durland, FNP
• Nizar Agha El Kinge, M.D.
• Jennifer Lauren Emanuel, LCSW
• Dafne Espinal Pena, PHARMD
• Gwendolyn Dawn Evans, NP
• Lisa Gail Falke, B.C.B.A.

• Optometrist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.