Organization Active NPI

Capital Eye Care, Doctors of Optometry, PC

  • Optometrist
  • Richmond, VA
National Provider Identifier
1578592846
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0603000341 Issued in VA
Legal business name
CAPITAL EYE CARE, DOCTORS OF OPTOMETRY, PC
Practice address
5000 Bakers Mill LN Ste 170
Richmond, VA 23230-2432
Phone
(804) 359-0770
Fax
(804) 359-1106
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Dr. Adam Herold, ODNPI 1043268022
Title
President
Phone
(804) 359-0770

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 0603000341 VA Primary

Addresses

Primary practice location

5000 Bakers Mill LN Ste 170
Richmond, VA 23230-2432

Mailing address

5000 Bakers Mill LN Ste 170
Richmond, VA 23230-2432
Phone (804) 359-0770

Other identifiers 1

IdentifierTypeStateIssuer
C09852OtherPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060818000071 VA Part B Supplier - Clinic/Group Practice 6406859164 Receives reassigned benefits from 2 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

11300 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 379-3836

5000 Bakers Mill Ln
Richmond, VA 23230

5000 Bakers Mill Ln
Ste 170
Richmond, VA 23230
Phone (804) 359-0770

4911 W Broad St
Richmond, VA 23230
Phone (804) 359-0770

Practitioners & affiliated clinicians

Practitioners 3

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1578592846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BAKERS MILL LN STE 170",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302432",
            "telephone_number": "804-359-0770",
            "fax_number": "804-359-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BAKERS MILL LN STE 170",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302432",
            "telephone_number": "804-359-0770",
            "fax_number": "804-359-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL EYE CARE, DOCTORS OF OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "HEROLD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-359-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C09852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.