Eyemax, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000951 Issued in VA

Legal business name

EYEMAX, INC.

Practice address

6651 Main St
Gloucester, VA 23061-5194

Phone

(804) 694-4999

NPI assigned

Dec 23, 2014

Last updated

Dec 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hien NguyenNPI 1427021682

Title

President

Phone

(804) 694-4999

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eye Max Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Max Inc

  • Optometrist
  • Gloucester, VA
  • NPI 1407134646
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hien Nguyen, O.D.

  • Optometrist
  • Gloucester, VA
  • NPI 1427021682
  NPD (past) Authorized official

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1679961700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615194",
            "telephone_number": "804-694-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615194",
            "telephone_number": "804-694-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMAX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-694-4999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427021682",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Mae Ellis, LDO, ABOC
• Shannon M Elrod, NP
• Rachel Kathryn Marie Mizell Ertel, PA-C
• Patricia Evans, LPC
• Eye Max Inc
• Aashna Faizy, PA-C
• Amanda Durrette Faulkner, MS, OTR/L
• Kathryn Elise Felts, FNP-C
• Denise Ferguson, LPC
• James Fish, M.D., FACEP

• Optometrist in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.