Individual provider Active NPI

Virginia Monteith Hodges, O.D.

  • Optometrist
  • Orange Park, FL
National Provider Identifier
1669769287
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4680 Issued in FL
Practice address
905 Park Ave Ste 100
Orange Park, FL 32073-4110
Phone
(904) 264-1206
Fax
(904) 264-3685
NPI assigned
Jul 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4680 FL Primary

Addresses

Primary practice location

905 Park Ave Ste 100
Orange Park, FL 32073-4110

Mailing address

905 Park Ave Ste 100
Orange Park, FL 32073-4110
Phone (904) 264-1206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120517000351 FL Practitioner - Optometry 5799948360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Kyle D Abshire and Dr James R Hoffman PAGroup PAC ID 7113815804, 6 clinicians

Practice addresses (Care Compare)

905 Park Ave
Suite 100
Orange Park, FL 32073-4110
Phone (904) 264-1206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4680FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kyle D Abshire & Dr James R Hoffman PA Optometrist CurrentSince Oct 17, 2016 Accepting new patients
South Florida Vision Services, Inc. Optometrist PastSince Oct 17, 2016 Accepting new patients

Locations

905 Park Ave
Ste 100
Orange Park, FL 32073
Phone (904) 264-1206

784 Blanding Blvd
Ste 100
Orange Park, FL 32065
Phone (305) 264-1206

Organizations & group practices 2

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": "1309651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1669769287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PARK AVE STE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734110",
            "telephone_number": "904-264-1206",
            "fax_number": "904-264-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PARK AVE STE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734110",
            "telephone_number": "904-264-1206",
            "fax_number": "904-264-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "VIRGINIA",
        "middle_name": "MONTEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.