NPIMap

Organization Active NPI

Highlands Optometry, PLLC

  • Optometrist
  • Bristol, VA
National Provider Identifier
1629670690
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HIGHLANDS OPTOMETRY, PLLC
Practice address
1701 Euclid Ave Ste D
Bristol, VA 24201-3700
Phone
(276) 466-4227
Fax
(276) 466-3937
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Dr. Joshua Taylor, ODNPI 1700445459
Title
Optometrist
Phone
(276) 466-4227

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 MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1701 Euclid Ave Ste D
Bristol, VA 24201-3700

Mailing address

1701 Euclid Ave Ste D
Bristol, VA 24201-3700
Phone (276) 466-4227

Other names 1

  • Highlands Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214000589 VA Part B Supplier - Clinic/Group Practice 5890107049 Receives reassigned benefits from 3 practitioners
Practice locations: Bristol, VA; Wise, VA

National Provider Directory

National Provider Directory

Locations

1701 Euclid Ave
Ste 10
Bristol, VA 24201
Phone (276) 466-4227

Practitioners & affiliated clinicians

Practitioners 7

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": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1629670690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 EUCLID AVE STE D",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013700",
            "telephone_number": "276-466-4227",
            "fax_number": "276-466-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 EUCLID AVE STE D",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013700",
            "telephone_number": "276-466-4227",
            "fax_number": "276-466-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "276-466-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.