Active NPI
Daniel Kingsley, O.D.
- Optometrist
- Farmville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000544
- Practice address
- 100 N Virginia St
Farmville, VA 23901-1537 - Phone
- (434) 392-8113
- Fax
- (434) 392-5934
- NPI assigned
- Aug 21, 2006
- Last updated
- Mar 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000544 | VA | Primary |
Addresses
Primary practice location
100 N Virginia St
Farmville, VA 23901-1537
Mailing address
12018 W Broad St
Henrico, VA 23233-7796
Phone (804) 287-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242205 | Other | VA | ANTHEM |
| 009235060 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11601 Iron Bridge Rd
Suite 200
Chester, VA 23831-1468
Phone (804) 340-5730
12018 W Broad St
Suite 100
Henrico, VA 23233-7796
Phone (804) 287-1380
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.89 of 100
- Quality
- 90.46
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeons of Richmond, Inc. | Current | Accepting new patients | |
| Eye Surgeons of Richmond, Inc. | Optometrist | Current | Accepting new patients |
| Daniel Kingsley O.D., P.C. | Optometrist | Current | Accepting new patients |
| Eye Surgeons of Richmond, Inc. | Optometrist | Current | Accepting new patients |
Locations
11601 Iron Bridge Rd
Ste 200
Chester, VA 23831
Phone (804) 340-5730
100 N Virginia St
Farmville, VA 23901
Phone (434) 392-8113
8120 Pleasant Grove Rd
Mechanicsville, VA 23116
Phone (804) 915-1440
2015 Waterside Rd
Prince George, VA 23875
Phone (804) 733-7300
400 Westhampton Sta
Richmond, VA 23226
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AICDBD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Virginia Eye Institute
- Ophthalmology Physician
- Richmond, VA
- NPI 1669480448
Optometrist
-
- Optometrist
- Farmville, VA
- NPI 1407360134
-
dba Virginia Eye Institute
- Eyewear Supplier
- Richmond, VA
- NPI 1033625744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1417063744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12018 W BROAD ST",
"city": "HENRICO",
"state": "VA",
"postal_code": "232337796",
"telephone_number": "804-287-4200",
"fax_number": "804-364-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N VIRGINIA ST",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239011537",
"telephone_number": "434-392-8113",
"fax_number": "434-392-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSLEY",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "242205",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009235060",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.