Dr. Gary H. St. Clair Optometrist, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0603000192 Issued in VA

Legal business name

DR. GARY H. ST. CLAIR OPTOMETRIST, INC

Practice address

20347B Timberlake Rd
Lynchburg, VA 24502-7203

Phone

(434) 239-2800

Fax

(434) 237-7037

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda Kahn

Title

Practice Administrator

Phone

(434) 239-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Clair Eye Care Doing business as

Locations

Practitioners 1

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

• Katelyn Nelson, ATC

  • Athletic Trainer
  • Lynchburg, VA
  • NPI 1295253748
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1366577306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20347B TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027203",
            "telephone_number": "434-239-2800",
            "fax_number": "434-237-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20347B TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027203",
            "telephone_number": "434-239-2800",
            "fax_number": "434-237-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY H. ST. CLAIR OPTOMETRIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "434-239-2800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010413150",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Clair Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Frank Villa Optometrist PC
• Dr John F Laneve Jr
• Dr Rick J Jaminet, PC
• Dr Todd M Macdowall PC
• Dr. Elizabeth M. Darby,Optometrist,PLLC.
• Dr. James B. Price Jr.,LLC
• Eric Douglas Dragan, ED.S., NCSP
• Aaliyah Drake
• Alexa N Dray, DMD
• Carah Rose Drees

• All providers in Lynchburg, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.