Active NPI
Farmville Vision Center Inc
- Optometrist
- Farmville, VA
National Provider Identifier
1659469567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1101 002474
- Legal business name
- FARMVILLE VISION CENTER INC
- Practice address
- College Plaza Shopping Center
Farmville, VA 23901 - Phone
- (434) 392-8408
- Fax
- (434) 392-8408
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Catherine E Fourqurean, OPTCIAN
- Title
- Owner
- Phone
- (434) 392-8408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1101 002474 | VA | Primary |
Addresses
Primary practice location
College Plaza Shopping Center
Farmville, VA 23901
Mailing address
College Plaza Shopping Center
Farmville, VA 23901
Phone (434) 392-8408
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204661 | Other | VA | ANTHEM |
| 25662 | Other | VA | SPECTERA |
| 9282581 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
1421 S Main St
Farmville, VA 23901
Phone (434) 392-8408
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bedford, VA
- NPI 1972607323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659469567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLLEGE PLAZA SHOPPING CENTER",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "23901",
"telephone_number": "434-392-8408",
"fax_number": "434-392-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COLLEGE PLAZA SHOPPING CENTER",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "23901",
"telephone_number": "434-392-8408",
"fax_number": "434-392-8408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMVILLE VISION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FOURQUREAN",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "434-392-8408",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OPTCIAN"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "1101 002474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "204661",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "25662",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9282581",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.