Active NPI
Benjamin Carroll Poovey
- Optician
- Fairlawn, VA
National Provider Identifier
1487428660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1101004468
- Practice address
- 7373 Peppers Ferry Blvd
Fairlawn, VA 24141-8857 - Phone
- (540) 731-4090
- Fax
- (540) 731-4089
- NPI assigned
- Nov 8, 2023
- Last updated
- Nov 8, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101004468 | VA | Primary |
Addresses
Primary practice location
7373 Peppers Ferry Blvd
Fairlawn, VA 24141-8857
Mailing address
7373 Peppers Ferry Blvd
Fairlawn, VA 24141-8857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101004468 | VA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1487428660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 PEPPERS FERRY BLVD",
"city": "FAIRLAWN",
"state": "VA",
"postal_code": "241418857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 PEPPERS FERRY BLVD",
"city": "FAIRLAWN",
"state": "VA",
"postal_code": "241418857",
"telephone_number": "540-731-4090",
"fax_number": "540-731-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOVEY",
"first_name": "BENJAMIN",
"middle_name": "CARROLL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "1101004468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, VA
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- Whitney Chase Petrie, LCSW
- Juan Polanco, PA-C
- Polaski County Board of Supervisors
- Lisa Pugh, LPC
- Gershon Silber, M.D.
- Stephanie Whited, LCSW LLC
- Jacob Michael Sunderlage, DC
- Tri-Medical LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.