Organization Active NPI

Warrenton Eye Associates

  • Optometrist
  • Warrenton, VA
National Provider Identifier
1356794697
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001691 Issued in VA
Legal business name
WARRENTON EYE ASSOCIATES
Practice address
508 Fletcher Dr
Warrenton, VA 20186-2183
Phone
(540) 216-7632
Fax
(540) 216-7636
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Dr. Heidi F Calladine, ODNPI 1720154115
Title
President
Phone
(540) 931-1549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001691 VA Primary

Addresses

Primary practice location

508 Fletcher Dr
Warrenton, VA 20186-2183

Mailing address

508 Fletcher Dr
Warrenton, VA 20186-2183
Phone (540) 216-7632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170109000630 VA Part B Supplier - Clinic/Group Practice 4082995949 Receives reassigned benefits from 2 practitioners
Practice locations: Warrenton, VA

National Provider Directory

National Provider Directory

Locations

508 Fletcher Dr
Warrenton, VA 20186
Phone (540) 216-7632

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1356794697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FLETCHER DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862183",
            "telephone_number": "540-216-7632",
            "fax_number": "540-216-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FLETCHER DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862183",
            "telephone_number": "540-216-7632",
            "fax_number": "540-216-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENTON EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "CALLADINE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-931-1549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.