Individual provider Active NPI

Lindsay Marie Petrie, O.D.

  • Optometrist
  • Lexington, VA
National Provider Identifier
1699904581
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002742 Issued in VA
Practice address
30 Crossing LN Ste 107
Lexington, VA 24450-6354
Phone
(540) 463-9350
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002742 VA Primary

Addresses

Primary practice location

30 Crossing LN Ste 107
Lexington, VA 24450-6354

Mailing address

1039 Cornerstone Pkwy
Allons, TN 38541-6858
Phone (847) 275-9404

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190904000721 VA Practitioner - Optometry 3173708807 Reassigns benefits to 1 organization
Practice locations: Lexington, VA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Crossing LN
Suite 107
Lexington, VA 24450-6354
Phone (540) 463-9350

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as individual
Quality
70.9
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Eye Associates of Rockbridge County LLC Optometrist CurrentSince May 17, 2019 Accepting new patients
Mullins Vision South, PLLC Optometrist PastSince Jan 7, 2019 Accepting new patients

Locations

30 Crossing Ln
Ste 107
Lexington, VA 24450
Phone (540) 463-9350

Interoperability endpoints

  • Direct secure messaging: lpetrie@mullinsvision.eyefinity-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1699904581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 CORNERSTONE PKWY",
            "city": "ALLONS",
            "state": "TN",
            "postal_code": "385416858",
            "telephone_number": "847-275-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CROSSING LN STE 107",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244506354",
            "telephone_number": "540-463-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.