Organization Active NPI

Dr. Gary H. St. Clair Optometrist, Inc

Doing business as St. Clair Eye Care

  • Optometrist
  • Lynchburg, VA
National Provider Identifier
1366577306
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0603000192 Issued in VA
Legal business name
DR. GARY H. ST. CLAIR OPTOMETRIST, INC
Doing business as
St. Clair Eye Care
Practice address
20347B Timberlake Rd
Lynchburg, VA 24502-7203
Phone
(434) 239-2800
Fax
(434) 237-7037
NPI assigned
Feb 22, 2007
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0603000192 VA Primary

Addresses

Primary practice location

20347B Timberlake Rd
Lynchburg, VA 24502-7203

Mailing address

20347B Timberlake Rd
Lynchburg, VA 24502-7203
Phone (434) 239-2800

Other names 1

  • St. Clair Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

20347 Timberlake Rd
Lynchburg, VA 24502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Clair Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • 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.