NPIMap

Organization Active NPI

Eye Care Center of Virginia PC

  • Specialist
  • Henrico, VA
National Provider Identifier
1396934709
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101041201 Issued in VA
Legal business name
EYE CARE CENTER OF VIRGINIA PC
Practice address
2924 Emerywood Pkwy Ste 103
Henrico, VA 23294-3746
Phone
(804) 330-9303
Fax
(804) 330-9302
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Dr. Garth Stevens Jr., MDNPI 1689741738
Title
President
Phone
(804) 330-9303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101041201 VA Primary

Addresses

Primary practice location

2924 Emerywood Pkwy Ste 103
Henrico, VA 23294-3746

Mailing address

2924 Emerywood Pkwy Ste 103
Henrico, VA 23294-3746
Phone (804) 330-9303

Other identifiers 2

IdentifierTypeStateIssuer
006308287MedicaidVA
DA5002OtherVARAILROAD MEDICARE

Other names 1

  • GARTH STEVENS JR MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050628000715 VA Part B Supplier - Clinic/Group Practice 9133164320 Receives reassigned benefits from 6 practitioners
Practice locations: Henrico, VA; North Chesterfield, VA
O20251218000834 VA Part B Supplier - Clinic/Group Practice 9133164320 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsville, VA

National Provider Directory

National Provider Directory

Locations

8266 Atlee Rd
Ste 226
Mechanicsvlle, VA 23116
Phone (804) 330-9303

2924 Emerywood Pkwy
Ste 103
Richmond, VA 23294
Phone (804) 330-9303

101 Tewning Rd
Williamsburg, VA 23188
Phone (757) 229-1131

Interoperability endpoints

  • Direct secure messaging: gsanborn@eccv.intellechartdirect.net
  • Direct secure messaging: gstevens@eccv.intellechartdirect.net
  • Direct secure messaging: afreeman@eccv.intellechartdirect.net
  • Direct secure messaging: aplaxco@eccv.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1396934709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 EMERYWOOD PKWY STE 103",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232943746",
            "telephone_number": "804-330-9303",
            "fax_number": "804-330-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 EMERYWOOD PKWY STE 103",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232943746",
            "telephone_number": "804-330-9303",
            "fax_number": "804-330-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTER OF VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "GARTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-330-9303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101041201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006308287",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA5002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARTH STEVENS JR MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GARTH STEVENS JR MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.