Active NPI
Dudley Optical Co Inc
- Optician
- Richmond, VA
National Provider Identifier
1689637670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 465
- Legal business name
- DUDLEY OPTICAL CO INC
- Practice address
- 418 North 1St St
Richmond, VA 23219-1702 - Phone
- (804) 343-7211
- Fax
- (804) 648-2095
- NPI assigned
- Apr 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Warris Darnell Dudley, FNAO
- Title
- President
- Phone
- (804) 343-7211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 465 | VA | Primary |
Addresses
Primary practice location
418 North 1St St
Richmond, VA 23219-1702
Mailing address
418 North 1St St
Richmond, VA 23219-1702
Phone (804) 343-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9280570 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
418 N 1st St
Richmond, VA 23219
Phone (804) 343-7211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689637670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 NORTH 1ST ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191702",
"telephone_number": "804-343-7211",
"fax_number": "804-648-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 NORTH 1ST ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191702",
"telephone_number": "804-343-7211",
"fax_number": "804-648-2095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUDLEY OPTICAL CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUDLEY",
"authorized_official_first_name": "WARRIS",
"authorized_official_middle_name": "DARNELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-343-7211",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNAO"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9280570",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.