Organization Active NPI

Conexus

  • Pediatric Optometrist
  • North Chesterfield, VA
National Provider Identifier
1659926715
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
Legal business name
CONEXUS
Practice address
11618 Busy St
North Chesterfield, VA 23236-4060
Phone
(804) 423-2020
Fax
(804) 423-5409
NPI assigned
Aug 6, 2019
Last updated
Aug 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Ms. Robin Hope Mead
Title
Vice President
Phone
(804) 423-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WP0200X Primary

Addresses

Primary practice location

11618 Busy St
North Chesterfield, VA 23236-4060

Mailing address

11618 Busy St
North Chesterfield, VA 23236-4060
Phone (804) 423-2020

National Provider Directory

National Provider Directory

Locations

11618 Busy St
North Chesterfield, VA 23236
Phone (804) 423-2020

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1659926715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 BUSY ST",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364060",
            "telephone_number": "804-423-2020",
            "fax_number": "804-423-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 BUSY ST",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364060",
            "telephone_number": "804-423-2020",
            "fax_number": "804-423-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEXUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-423-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.