Active NPI
Donald Richard Plum, OD
- Optometrist
- Newport News, VA
National Provider Identifier
1508941717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001217
- Practice address
- 12300 Jefferson Ave
#417
Newport News, VA 23602 - Phone
- (757) 249-4330
- Fax
- (757) 249-4303
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001217 | VA | Primary |
Addresses
Primary practice location
12300 Jefferson Ave
#417
Newport News, VA 23602
Mailing address
19336 Leitersburg Pike
Hagerstown, MD 21742
Phone (757) 249-4330
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001217 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Optometry Steven Kasinof and 17 Associates Optometrists | Optometrist | Past | Accepting new patients |
| Empire Vision Center, Inc | Past | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508941717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19336 LEITERSBURG PIKE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21742",
"telephone_number": "757-249-4330",
"fax_number": "757-249-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 JEFFERSON AVE",
"address_2": "#417",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23602",
"telephone_number": "757-249-4330",
"fax_number": "757-249-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUM",
"first_name": "DONALD",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.