Organization Active NPI

DRS Gilbert & Farley Odpc

  • Optometrist
  • Colonial Heights, VA
National Provider Identifier
1497765739
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000164 Issued in VA
Legal business name
DRS GILBERT & FARLEY ODPC
Practice address
3731 A Boulevard
Colonial Heights, VA 23834
Phone
(804) 526-3676
Fax
(804) 520-5781
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Lowell H Gilbert, OD
Title
President of Corp Dr
Phone
(804) 526-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000164 VA Primary

Addresses

Primary practice location

3731 A Boulevard
Colonial Heights, VA 23834

Mailing address

3731 A Boulevard
Colonial Heights, VA 23834
Phone (804) 526-3676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100506000856 VA Part B Supplier - Clinic/Group Practice 8123156437 Receives reassigned benefits from 3 practitioners
Practice locations: Colonial Heights, VA
O20100930063494 VA DME Supplier - Physician - Optometrist 8123156437 Practice locations: Colonial Heights, VA

National Provider Directory

National Provider Directory

Locations

3731 Boulevard
Colonial Heights, VA 23834
Phone (804) 526-3676

3731 Boulevard
Ste A
Colonial Hgts, VA 23834
Phone (804) 526-3676

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1497765739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 A BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-526-3676",
            "fax_number": "804-520-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 A BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-526-3676",
            "fax_number": "804-520-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GILBERT & FARLEY ODPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT OF CORP DR",
        "authorized_official_telephone_number": "804-526-3676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.