Individual provider Active NPI

Frank Benedict Villa II, O.D.

  • Corneal and Contact Management Optometrist
  • Lynchburg, VA
National Provider Identifier
1366448144
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
0618000190 Issued in VA
Practice address
18800 Forest Rd
Lynchburg, VA 24502-4494
Phone
(434) 385-8800
NPI assigned
Jun 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 0618000190 VA Primary

Addresses

Primary practice location

18800 Forest Rd
Lynchburg, VA 24502-4494

Mailing address

18800 Forest Rd
Lynchburg, VA 24502-4494
Phone (434) 385-8800

Other identifiers 4

IdentifierTypeStateIssuer
410037410OtherVIRAIL ROAD MEDICARE
9230084MedicaidVA
0139570001OtherVAADMINA STAR
260837OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100924000948 VA Practitioner - Optometry 8123144326 Reassigns benefits to 1 organization
I20210811001545 GA Practitioner - Optometry 8123144326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

503 Furys Ferry Rd
Martinez, GA 30907-9059
Phone (706) 860-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1157VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PPLC CurrentSince Feb 18, 2019 Accepting new patients
Myeyedr Optometry of Virginia PLLC Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC CurrentSince Feb 18, 2019 Accepting new patients
Myeyedr Optometry of Georgia, LLC CurrentSince Jun 14, 2021 Accepting new patients
Myeyedr Optometry of Georgia, LLC Current Accepting new patients
Myeyedr Optometry of Georgia, LLC CurrentSince Jun 14, 2021 Accepting new patients

Locations

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

503 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 860-8899

1014 Northside Dr E
Statesboro, GA 30458
Phone (912) 764-9147

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

18800 Forest Rd
Lynchburg, VA 24502
Phone (434) 385-8800

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: fvilla009928@myeyedr.emadirect.md

Organizations & group practices 6

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": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1366448144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024494",
            "telephone_number": "434-385-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024494",
            "telephone_number": "434-385-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "FRANK",
        "middle_name": "BENEDICT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-25",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618000190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "410037410",
            "state": "VI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9230084",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINA STAR",
            "identifier": "0139570001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "260837",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.