Organization Active NPI

New Kent Eye Care LLC

Doing business as New Kent Eye Care

  • Optometrist
  • Quinton, VA
National Provider Identifier
1366098832
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEW KENT EYE CARE LLC
Doing business as
New Kent Eye Care
Practice address
7410 Cooper Tavern Rd Ste D
Quinton, VA 23141-2260
Phone
(540) 345-3556
Fax
(540) 342-2193
NPI assigned
Aug 12, 2019
Last updated
Aug 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Derek Evans, OD
Title
President
Phone
(540) 345-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

7410 Cooper Tavern Rd Ste D
Quinton, VA 23141-2260

Mailing address

PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556

Other names 1

  • New Kent Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

7410 Cooper Tavern Rd
Ste D
Quinton, VA 23141

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1366098832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 COOPER TAVERN RD STE D",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231412260",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW KENT EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-345-3556",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Kent Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.