Eye Max Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE MAX INC

Practice address

6651 Main St
Gloucester, VA 23061-5194

Phone

(804) 694-4999

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Hien Nguyen, ODNPI 1427021682

Title

Owner

Phone

(757) 249-4040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Eye Max Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eyemax, Inc.

  • Optometrist
  • Gloucester, VA
  • NPI 1679961700
  NPD tax ID

Practitioners 1

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

• Hien Nguyen, O.D.

  • Optometrist
  • Gloucester, VA
  • NPI 1427021682
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1407134646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615194",
            "telephone_number": "804-694-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615194",
            "telephone_number": "804-694-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MAX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-249-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dunston, LPC
• Olivia Mae Ellis, LDO, ABOC
• Shannon M Elrod, NP
• Rachel Kathryn Marie Mizell Ertel, PA-C
• Patricia Evans, LPC
• Eyemax, Inc.
• Aashna Faizy, PA-C
• Amanda Durrette Faulkner, MS, OTR/L
• Kathryn Elise Felts, FNP-C
• Denise Ferguson, LPC

• Optometrist in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.