Active NPI
Ami Nadolsky, O.D.
- Optometrist
- Roanoke, VA
National Provider Identifier
1588894950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2891
- Practice address
- 4822C Valley View Blvd
Roanoke, VA 24012 - Phone
- (321) 759-7599
- NPI assigned
- Jul 20, 2009
- Last updated
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2891 | TN | Primary |
Addresses
Primary practice location
4822C Valley View Blvd
Roanoke, VA 24012
Mailing address
Corner of Lamont and Sydney Streets Building 200
Mountain Home, TN 37684
Phone (423) 926-1171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1588894950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CORNER OF LAMONT AND SYDNEY STREETS BUILDING 200",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-926-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822C VALLEY VIEW BLVD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24012",
"telephone_number": "321-759-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADOLSKY",
"first_name": "AMI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.