Organization Active NPI

Family Eyecare Center PC

  • Optometrist
  • Danville, VA
National Provider Identifier
1407929300
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0603000230 Issued in VA
Legal business name
FAMILY EYECARE CENTER PC
Practice address
401 Piney Forest Rd
Danville, VA 24540-4001
Phone
(434) 793-2020
Fax
(434) 792-0102
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Ms. Gail W Megginson
Title
Offic Manager
Phone
(434) 793-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0603000230 VA Primary

Addresses

Primary practice location

401 Piney Forest Rd
Danville, VA 24540-4001

Mailing address

401 Piney Forest Rd
Danville, VA 24540-4001
Phone (434) 793-2020

Other identifiers 1

IdentifierTypeStateIssuer
009236431MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100915001185 VA Part B Supplier - Clinic/Group Practice 4688799596 Receives reassigned benefits from 3 practitioners
Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Locations

401 Piney Forest Rd
Danville, VA 24540
Phone (434) 793-2020

415 Piney Forest Rd
Danville, VA 24540
Phone (434) 793-2020

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1407929300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404001",
            "telephone_number": "434-793-2020",
            "fax_number": "434-792-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404001",
            "telephone_number": "434-793-2020",
            "fax_number": "434-792-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "MEGGINSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFIC MANAGER",
        "authorized_official_telephone_number": "434-793-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009236431",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.