Madison Chisom

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003684 Issued in VA

Practice address

280 Westlake Rd # 2
Hardy, VA 24101-3967

Phone

(540) 855-5100

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1578469870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 ORANGE AVE NE APT 309",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WESTLAKE RD # 2",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013967",
            "telephone_number": "540-855-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISOM",
        "first_name": "MADISON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carilion Healthcare Corporation (Carilion Clinic Internal Medicine)
• Carilion Medical Center (Carilion Clinic - DME - Westlake)
• Margaret Carter, PT
• Stephanie Cutlip Cash, FNP-C
• Kurt Y. Chen, M.D.
• Kimberly Gail Clark
• Connect Behavioral Health LLC (Delta ABA Therapy)
• Connect Hearing, Inc.
• David S Davis, M.D., J.D., FACEP
• Drew Dishman, RPH

• Optometrist in Hardy, VA
• Providers in Hardy, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.