Organization Active NPI

The Eye Place Optometry, P.C.

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1548366123
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001397 Issued in VA
Legal business name
THE EYE PLACE OPTOMETRY, P.C.
Practice address
1601 Huguenot Rd
Midlothian, VA 23113-2428
Phone
(804) 794-3937
Fax
(804) 794-9216
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Brian Matthew Spittle, ODNPI 1407856040
Title
Owner
Phone
(804) 794-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001397 VA Primary

Addresses

Primary practice location

1601 Huguenot Rd
Midlothian, VA 23113-2428

Mailing address

1601 Huguenot Rd
Midlothian, VA 23113-2428
Phone (804) 794-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122001193 VA Part B Supplier - Clinic/Group Practice 1456316181 Receives reassigned benefits from 7 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

1601 Huguenot Rd
Midlothian, VA 23113
Phone (804) 794-3937

1405 Huguenot Rd
Midlothian, VA 23113
Phone (804) 794-4126

4217 Beulah Rd
North Chesterfield, VA 23237
Phone (804) 885-3456

Practitioners & affiliated clinicians

Practitioners 9

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1548366123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132428",
            "telephone_number": "804-794-3937",
            "fax_number": "804-794-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132428",
            "telephone_number": "804-794-3937",
            "fax_number": "804-794-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE PLACE OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "SPITTLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-794-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.