Organization Active NPI

Dudley Optical Co Inc

  • Optician
  • Richmond, VA
National Provider Identifier
1689637670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
465 Issued in VA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9280570MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.