Organization Active NPI

Eye Care Christiansburg Inc

  • Optometrist
  • Christiansburg, VA
National Provider Identifier
1619068640
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601001355 Issued in VA
Legal business name
EYE CARE CHRISTIANSBURG INC
Practice address
29 W Main St
Christiansburg, VA 24073-2941
Phone
(540) 381-2020
Fax
(540) 382-2660
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Mr. William Scott Mann, ODNPI 1821036104
Title
Owner
Phone
(540) 381-2020

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 0601001355 VA Primary

Addresses

Primary practice location

29 W Main St
Christiansburg, VA 24073-2941

Mailing address

29 W Main St
Christiansburg, VA 24073-2941
Phone (540) 381-2020

Other identifiers 2

IdentifierTypeStateIssuer
9202552MedicaidVA
465995OtherVAANTHEM

Other names 1

  • Invision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000191 VA Part B Supplier - Clinic/Group Practice 8022189646 Receives reassigned benefits from 5 practitioners
Practice locations: Christiansburg, VA

National Provider Directory

National Provider Directory

Locations

29 W Main St
Christiansburg, VA 24073
Phone (540) 381-2020

Interoperability endpoints

  • Direct secure messaging: drbeckymann@invisionchristiansburg.eyefinity-direct.com
  • Direct secure messaging: drscottmann@invisionchristiansburg.eyefinity-direct.com
  • Direct secure messaging: tpoling@invisionchristiansburg.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 5

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1619068640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W MAIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732941",
            "telephone_number": "540-381-2020",
            "fax_number": "540-382-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W MAIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732941",
            "telephone_number": "540-381-2020",
            "fax_number": "540-382-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CHRISTIANSBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-381-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202552",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "465995",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2008; 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.