Eyebrow Renovation & Permanent Makeup

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1236000418 Issued in VA

Legal business name

EYEBROW RENOVATION & PERMANENT MAKEUP

Practice address

100 2ND St NW
Charlottesville, VA 22902-5193

Phone

(434) 825-0481

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Mary Francis Hunter, CPCP

Title

Owner

Phone

(434) 825-0481

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1497135784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 2ND ST NW",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025193",
            "telephone_number": "434-825-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND ST NW",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025193",
            "telephone_number": "434-825-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEBROW RENOVATION & PERMANENT MAKEUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-825-0481",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPCP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "1236000418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.