NPIMap

Organization Active NPI

Optometric Associates

  • Optometrist
  • Christiansburg, VA
National Provider Identifier
1548475601
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601000680 Issued in VA
Legal business name
OPTOMETRIC ASSOCIATES
Practice address
628 New River Rd
New River Valley Mall
Christiansburg, VA 24073-6500
Phone
(540) 382-5511
Fax
(540) 382-1904
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Irving Edelsberg, O.D.
Title
Optometrist Part Owner
Phone
(908) 685-0033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0601000680 VA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0601001000 VA

Addresses

Primary practice location

628 New River Rd
New River Valley Mall
Christiansburg, VA 24073-6500

Mailing address

628 New River Rd
New River Valley Mall
Christiansburg, VA 24073-6500
Phone (540) 382-5511

National Provider Directory

National Provider Directory
Tax ID family
Optometric Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1548475601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 NEW RIVER RD",
            "address_2": "NEW RIVER VALLEY MALL",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736500",
            "telephone_number": "540-382-5511",
            "fax_number": "540-382-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 NEW RIVER RD",
            "address_2": "NEW RIVER VALLEY MALL",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736500",
            "telephone_number": "540-382-5511",
            "fax_number": "540-382-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "EDELSBERG",
        "authorized_official_first_name": "IRVING",
        "authorized_official_title_or_position": "OPTOMETRIST PART OWNER",
        "authorized_official_telephone_number": "908-685-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601000680",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.