Individual provider Active NPI

Michael James Collins, OD

  • Optometrist
  • Winchester, VA
National Provider Identifier
1669931077
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002738 Issued in VA
Practice address
3051 Valley Ave Ste 102
Winchester, VA 22601-2658
Phone
(540) 450-8504
NPI assigned
Mar 15, 2019
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002738 VA Primary

Addresses

Primary practice location

3051 Valley Ave Ste 102
Winchester, VA 22601-2658

Mailing address

2010 Bremo Rd Ste 128a
Richmond, VA 23226-2444
Phone (877) 969-0392

Other practice location 1

191 Old Courthouse Rd
Appomattox, VA 24522-9853
Phone (434) 385-5600

Other practice location 2

1503 Enterprise Dr
Lynchburg, VA 24502-5751
Phone (434) 385-5600

Other practice location 3

1835 Graves Mill Rd Ste 2
Forest, VA 24551-3967
Phone (434) 385-5600

Other practice location 4

1825 Graves Mill Rd
Forest, VA 24551-3967
Phone (434) 385-5600

Other practice location 5

204 Ambriar Plaza
Amherst, VA 24521-2452
Phone (434) 385-5600

Other practice location 6

2047 Hamilton Blvd
South Boston, VA 24592-2141
Phone (434) 385-5600

Other practice location 7

4244 Virginia Ave
Collinsville, VA 24078-1935
Phone (434) 385-5600

Other practice location 8

521 Webster St
South Boston, VA 24592-2429
Phone (434) 385-5600

Other practice location 9

800 Memorial Dr Ste A
Danville, VA 24541-1680
Phone (434) 385-5600

Other practice location 10

1049 Brookdale St Ste C
Martinsville, VA 24112-3972
Phone (434) 385-5600

Other practice location 11

505 7th St
Altavista, VA 24517-1815
Phone (434) 385-5600

Other practice location 12

356 Front Street
Lovingston, VA 22949-2294
Phone (434) 385-5600

Other practice location 13

100 N Virginia St
Farmville, VA 23901-1537
Phone (434) 392-8113

Other practice location 14

2108 Langhorne Rd
Lynchburg, VA 24501-1424
Phone (434) 385-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20260320002556 UT Practitioner - Optometry 4082957030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1234 E 480
Orem, UT 84097-5418

PO Box
Suite 19060
Green Bay, WI 54307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002738VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Central Virginia Inc. Past Accepting new patients
Harman Eye Center of Appomattox and Associates PLC Optometrist Past Accepting new patients
Daniel Kingsley O.D., P.C. Optometrist Past Accepting new patients
Visual Health Doctors of Optometry Optometrist Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1669931077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 BREMO RD STE 128A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262444",
            "telephone_number": "877-969-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VALLEY AVE STE 102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012658",
            "telephone_number": "540-450-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Old Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Appomattox",
            "state": "VA",
            "postal_code": "245229853",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245025751",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 Graves Mill Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245513967",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Graves Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245513967",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Ambriar Plaza",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "VA",
            "postal_code": "245212452",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2047 Hamilton Blvd",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245922141",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4244 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "VA",
            "postal_code": "240781935",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Webster St",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245922429",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245411680",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1049 Brookdale St Ste C",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241123972",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 7th St",
            "address_purpose": "LOCATION",
            "city": "Altavista",
            "state": "VA",
            "postal_code": "245171815",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "356 Front Street",
            "address_purpose": "LOCATION",
            "city": "Lovingston",
            "state": "VA",
            "postal_code": "229492294",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011537",
            "country_code": "US",
            "telephone_number": "434-392-8113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 Langhorne Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011424",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.