Dr. Nancy J. Graves, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000496 Issued in VA

Legal business name

DR. NANCY J. GRAVES, O.D., P.C.

Practice address

3102 Golansky Blvd
Suite 101
Woodbridge, VA 22192-4244

Phone

(703) 590-2888

Fax

(703) 590-1121

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Jane Graves, O.D.

Title

Optometrist

Phone

(703) 590-2888

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1477731172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 GOLANSKY BLVD",
            "address_2": "SUITE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924244",
            "telephone_number": "703-590-2888",
            "fax_number": "703-590-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 GOLANSKY BLVD",
            "address_2": "SUITE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924244",
            "telephone_number": "703-590-2888",
            "fax_number": "703-590-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NANCY J. GRAVES, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-590-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER  NUMBER",
            "identifier": "0937760001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043214834",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VV8066A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.