Desiree Lewis-Nelson

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1101-003025 Issued in VA

Practice address

904 N 1St St
Richmond, VA 23219-1000

Phone

(804) 601-6263

NPI assigned

Mar 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Phoccus Health Company

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1447016951
  NPD Authorized official

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1659670933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 MEADOWMONT LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N 1ST ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191000",
            "telephone_number": "804-601-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-NELSON",
        "first_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101-003025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Lewandoski, FNP-BC
• Julie E. Lewandowski, CRNA
• Joseph Amadeo Lewcun, MD
• Wlodzimierz Lewelt, MD
• Lewis Chiropractic & Body Restoration
• Shadezia Lewis-Nelson
• Marna T. Lewis-Prince, M.D.
• Jenee Lewis-Walker, PSY.D., LCP
• Abigail Van Nort Lewis
• Alexandra Jane Lewis, PT, DPT

• Optician in Richmond, VA
• Providers in Richmond, VA by specialty
• Optician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.