Eye Care 108, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001815 Issued in VA

Legal business name

EYE CARE 108, LLC

Practice address

108 W 2ND Ave
Franklin, VA 23851-1712

Phone

(757) 562-4321

Fax

(757) 562-3378

NPI assigned

Jan 8, 2016

Last updated

Jan 8, 2016By 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. Dylan B Belt, O.D.NPI 1982612800

Title

Owner

Phone

(757) 562-4321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Dylan B Belt, OD

  • Optometrist
  • Franklin, VA
  • NPI 1982612800
  Medicare reassignment NPD Authorized official
• Christopher Alan Stansbury, O.D.

  • Optometrist
  • Charleston, WV
  • NPI 1376569814
  NPD (past)

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1689030405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W 2ND AVE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511712",
            "telephone_number": "757-562-4321",
            "fax_number": "757-562-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W 2ND AVE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511712",
            "telephone_number": "757-562-4321",
            "fax_number": "757-562-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE 108, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "BELT",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-562-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.