Organization Active NPI

Virginia Oculofacial Surgeons

  • Specialist
  • Richmond, VA
National Provider Identifier
1407913395
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101046909 Issued in VA
Legal business name
VIRGINIA OCULOFACIAL SURGEONS
Practice address
1300 Wilkes Ridge Dr Ste 100
Richmond, VA 23233-7963
Phone
(804) 934-9344
Fax
(804) 934-9034
NPI assigned
Jan 2, 2007
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Dimitrios N Sismanis, MDNPI 1295962710
Title
Physician/Owner
Phone
(804) 934-9344

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
Specialist 174400000X 0101046909 VA Primary

Addresses

Primary practice location

1300 Wilkes Ridge Dr Ste 100
Richmond, VA 23233-7963

Mailing address

1300 Wilkes Ridge Dr Ste 100
Richmond, VA 23233-7963
Phone (804) 934-9344

Other practice location 1

1630 Wilkes Ridge Pkwy Ste 102
Richmond, VA 23233-7460
Phone (804) 934-9344 ext. 705

Other identifiers 5

IdentifierTypeStateIssuer
006360092MedicaidVA
143900OtherVAANTHEM BLUECROSSBLUESHIEL
20353OtherVIOPTIMA HEALTH SENTARA
180015571OtherVARAILROAD MEDICARE
006360092OtherVAVA PREMIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816000552 VA Part B Supplier - Clinic/Group Practice 2365415734 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA; Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

1671 Emancipation Hwy
Ste 103
Fredericksburg, VA 22401
Phone (540) 368-5230

1630 Wilkes Ridge Pkwy
Ste 102
Richmond, VA 23233
Phone (804) 934-9344

1430 High St
Ste 1107
Williamsburg, VA 23185
Phone 8049349344705

Practitioners & affiliated clinicians

Practitioners 2

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1407913395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WILKES RIDGE DR STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337963",
            "telephone_number": "804-934-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WILKES RIDGE DR STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337963",
            "telephone_number": "804-934-9344",
            "fax_number": "804-934-9034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Wilkes Ridge Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232337460",
            "country_code": "US",
            "telephone_number": "804-934-9344 x705",
            "fax_number": "804-934-9034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA OCULOFACIAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "SISMANIS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "804-934-9344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101046909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006360092",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSSBLUESHIEL",
            "identifier": "143900",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH SENTARA",
            "identifier": "20353",
            "state": "VI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180015571",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "006360092",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.