Neil Brandon Sample, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001855 Issued in VA

Practice address

340 W Main St
Abingdon, VA 24210-2624

Phone

(276) 628-3118

Fax

(276) 628-8342

NPI assigned

Sep 15, 2009

Last updated

May 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians of Southwest Virginia P CGroup PAC ID 3173562808, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.83 of 100Reported as group

Quality

94.11

Improvement activities

40

Cost

73.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samplen@eyephysiciansofswva.updoxdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Physicians of Southwest Virginia P C

  • Ophthalmology Physician
  • Abingdon, VA
  • NPI 1154315901
  Medicare reassignment Care Compare group NPD
• Eye Physicians of Southwest Virginia PC

  • Durable Medical Equipment & Medical Supplies
  • Abingdon, VA
  • NPI 1407820210
  NPD
• Family Eye Care Center PA

  • Optometrist
  • Boone, NC
  • NPI 1780805804
  NPD
• Eye Physicians Optical Center

  • Durable Medical Equipment & Medical Supplies
  • Marion, VA
  • NPI 1376517326
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1689907164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102624",
            "telephone_number": "276-628-3118",
            "fax_number": "276-628-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102624",
            "telephone_number": "276-628-3118",
            "fax_number": "276-628-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLE",
        "first_name": "NEIL",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689907164",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00924345",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Rosewell, LPC
• Joe Rupe, MD
• Sabo Audiology LLC (Bluestone Hearing Clinic)
• Matthew Sabo, AUD, CCC-A
• Kaylan R Salyer, FNP
• Bethany Sandefur
• Ashley Sanders, LCSW
• Keylea Marenda Sanders, CPNP
• Andrea Sartori, PH.D.
• Brian Scardo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.