NPIMap

Organization Active NPI

Gracey's Vision Healthcare Inc.

  • Health Maintenance Organization
  • Alexandria, VA
National Provider Identifier
1407174717
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1687 Issued in VA
Legal business name
GRACEY'S VISION HEALTHCARE INC.
Practice address
1420 Prince St Ste 201
Alexandria, VA 22314-2868
Phone
(862) 403-9118
Fax
(877) 437-7795
NPI assigned
May 11, 2010
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Miss Grace BooneNPI 1003730979
Title
C,E.O
Phone
(862) 403-9118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1687 VA Primary

Addresses

Primary practice location

1420 Prince St Ste 201
Alexandria, VA 22314-2868

Mailing address

1420 Prince St Ste 201
Alexandria, VA 22314-2868
Phone (862) 403-9118

National Provider Directory

National Provider Directory
Tax ID family
Gracey's Vision Healthcare Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1420 Prince St
Ste 201
Alexandria, VA 22314
Phone (862) 403-9118

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": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1407174717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 PRINCE ST STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142868",
            "telephone_number": "862-403-9118",
            "fax_number": "877-437-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 PRINCE ST STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142868",
            "telephone_number": "862-403-9118",
            "fax_number": "877-437-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEY'S VISION HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "C,E.O",
        "authorized_official_telephone_number": "862-403-9118",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "1687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.