20-20 Eyecare of Virginia Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

20-20 EYECARE OF VIRGINIA INC

Practice address

4640 Monticello Ave Ste 8a
Williamsburg, VA 23188-8230

Phone

(757) 258-1020

Fax

(757) 229-6280

NPI assigned

Nov 21, 2006

Organization subpart

No

Name

Dr. Forrest R Schaeffer, O.D.

Title

President

Phone

(757) 827-1223

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

• Daniel John Broza, O.D.

  • Optometrist
  • Newport News, VA
  • NPI 1821145475
  NPD (past)

Locations

• 20-20 Eyecare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 24, 2008.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1467527770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W MERCURY BLVD",
            "address_2": "SUITE 136",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051445",
            "telephone_number": "757-827-1223",
            "fax_number": "757-827-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 MONTICELLO AVE STE 8A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888230",
            "telephone_number": "757-258-1020",
            "fax_number": "757-229-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 EYECARE OF VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-827-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005788118",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "253757",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20-20 Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Williamsburg, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; 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.