NPIMap

Organization Active NPI

Eye Physicians Optical Center

  • Durable Medical Equipment & Medical Supplies
  • Marion, VA
National Provider Identifier
1376517326
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0101034112 Issued in VA
Legal business name
EYE PHYSICIANS OPTICAL CENTER
Practice address
1128 N Main St
Marion, VA 24354-4122
Phone
(276) 783-6131
Fax
(276) 783-1953
NPI assigned
Feb 15, 2006
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Mr. Justin Trent
Title
Administrator
Phone
(276) 783-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0101034112 VA Primary

Addresses

Primary practice location

1128 N Main St
Marion, VA 24354-4122

Mailing address

1128 N Main St
Marion, VA 24354-4122
Phone (276) 783-6131

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians of SW Vagrp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1128 N Main St
#6002
Marion, VA 24354

Practitioners & affiliated clinicians

Practitioners 10

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": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1376517326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544122",
            "telephone_number": "276-783-6131",
            "fax_number": "276-783-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544122",
            "telephone_number": "276-783-6131",
            "fax_number": "276-783-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "TRENT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-783-6131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0101034112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.