Individual provider Active NPI

William C Holcomb, O.D.

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1639177017
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601000811 Issued in VA
Practice address
160 Mt Pleasant Rd
Chesapeake, VA 23322-4152
Phone
(757) 482-4022
Fax
(757) 482-9065
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601000811 VA Primary

Addresses

Primary practice location

160 Mt Pleasant Rd
Chesapeake, VA 23322-4152

Mailing address

160 Mt Pleasant Rd
Chesapeake, VA 23322-4152
Phone (757) 482-4022

Other identifiers 4

IdentifierTypeStateIssuer
009204016MedicaidVA
044496OtherVAANTHEM BCBS
541109588001OtherVATRICARE
15702OtherVAOPTIMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000874 VA Practitioner - Optometry 3870606312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
5.83 of 100Reported as individual
Quality
11.67
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0601000811VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsey M Vernillo OD PC Optometrist CurrentSince May 1, 2021 Accepting new patients

Locations

160 Mount Pleasant Rd
Chesapeake, VA 23322
Phone (757) 482-4022

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1639177017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224152",
            "telephone_number": "757-482-4022",
            "fax_number": "757-482-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224152",
            "telephone_number": "757-482-4022",
            "fax_number": "757-482-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601000811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204016",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "044496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541109588001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "15702",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.