John C. McElroy, Optometrist

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000094 Issued in VA

Legal business name

JOHN C. MCELROY, OPTOMETRIST

Practice address

76 E Main St
Pulaski, VA 24301-5014

Phone

(540) 980-3687

NPI assigned

Apr 22, 2008

Organization subpart

No

Name

John C McElroy

Title

Optometrist

Phone

(540) 980-3687

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2008.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1700050697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E MAIN ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E MAIN ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015014",
            "telephone_number": "540-980-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. MCELROY, OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "540-980-3687"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00621961",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pulaski, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.