Organization Active NPI

Virginia Vision & Surgery, PLLC

  • Ophthalmology Physician
  • Mechanicsville, VA
National Provider Identifier
1679190334
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VIRGINIA VISION & SURGERY, PLLC
Practice address
8401 N Run Medical Dr
Mechanicsville, VA 23116-2309
Phone
(804) 769-2020
Fax
(804) 999-0455
NPI assigned
Jun 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Dr. Evelyn Baker, MDNPI 1518973528
Title
Owner
Phone
(804) 769-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

8401 N Run Medical Dr
Mechanicsville, VA 23116-2309

Mailing address

8401 N Run Medical Dr
Mechanicsville, VA 23116-2309
Phone (804) 769-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200716000516 VA Part B Supplier - Clinic/Group Practice 5698199255 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsville, VA

National Provider Directory

National Provider Directory

Locations

8401 N Run Medical Dr
Mechanicsvlle, VA 23116
Phone (804) 559-9902

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1679190334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 N RUN MEDICAL DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162309",
            "telephone_number": "804-769-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 N RUN MEDICAL DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162309",
            "telephone_number": "804-769-2020",
            "fax_number": "804-999-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA VISION & SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-769-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.