Individual provider Active NPI

Howard Dana Jadofsky

  • Optician
  • Stanardsville, VA
National Provider Identifier
1356581631
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101001285 Issued in VA
Practice address
102 Main St
Stanardsville, VA 22973-2970
Phone
(434) 531-5071
Fax
(434) 990-0126
NPI assigned
Feb 26, 2009
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101001285 VA Primary

Addresses

Primary practice location

102 Main St
Stanardsville, VA 22973-2970

Mailing address

PO Box 1315
Stanardsville, VA 22973-1315
Phone (434) 531-5071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101001285VAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
On-Sight Optical, LLC Optician Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1356581631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1315",
            "city": "STANARDSVILLE",
            "state": "VA",
            "postal_code": "229731315",
            "telephone_number": "434-531-5071",
            "fax_number": "434-990-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "STANARDSVILLE",
            "state": "VA",
            "postal_code": "229732970",
            "telephone_number": "434-531-5071",
            "fax_number": "434-990-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADOFSKY",
        "first_name": "HOWARD",
        "middle_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101001285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanardsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.