Organization Active NPI

Dr. Philip Larrabee and Associates Optometrists, LLC

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1558508952
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000324 Issued in VA
Legal business name
DR. PHILIP LARRABEE AND ASSOCIATES OPTOMETRISTS, LLC
Practice address
12200 Chattanooga PLZ
Midlothian, VA 23112-4865
Phone
(804) 744-7327
Fax
(804) 744-7328
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Dr. Philip Larrabee, O.D.NPI 1225139025
Title
Optometrist/President
Phone
(757) 880-3320

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000324 VA Primary
Clinic/Center 261Q00000X 0618000324 VA

Addresses

Primary practice location

12200 Chattanooga PLZ
Midlothian, VA 23112-4865

Mailing address

4617 Leonard Pkwy
Richmond, VA 23226
Phone (804) 359-1035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100831000642 VA Part B Supplier - Clinic/Group Practice 7810011608 Receives reassigned benefits from 1 practitioner
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

2501 Sheila Ln
#2N
Richmond, VA 23225
Phone (804) 320-2123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1558508952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 LEONARD PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-359-1035",
            "fax_number": "804-359-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 CHATTANOOGA PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124865",
            "telephone_number": "804-744-7327",
            "fax_number": "804-744-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PHILIP LARRABEE AND ASSOCIATES OPTOMETRISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "LARRABEE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "757-880-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000324",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0618000324",
            "primary": false
        }
    ],
    "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 8, 2018; 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.