Organization Active NPI

Victorious Images, LLC

Doing business as Victorious Images

  • Prosthetic/Orthotic Supplier
  • Williamsburg, VA
National Provider Identifier
1700191152
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
VICTORIOUS IMAGES, LLC
Doing business as
Victorious Images
Practice address
6961 Richmond Rd
Williamsburg, VA 23188-7212
Phone
(757) 476-7335
Fax
(757) 476-7336
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mrs. Nancy Phillips Lewis
Title
Owner/Member
Phone
(757) 476-7335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

6961 Richmond Rd
Williamsburg, VA 23188-7212

Mailing address

PO Box 638
Norge, VA 23127-0638
Phone (757) 476-7335

Other names 1

  • Victorious Images Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000231 VA DME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-Prosthetic 9739341108 Practice locations: Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

7191 Richmond Rd
Ste E
Williamsburg, VA 23188
Phone (757) 476-7335

6961 Richmond Rd
Williamsburg, VA 23188
Phone (757) 476-7335

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1700191152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "NORGE",
            "state": "VA",
            "postal_code": "231270638",
            "telephone_number": "757-476-7335",
            "fax_number": "757-476-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 RICHMOND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887212",
            "telephone_number": "757-476-7335",
            "fax_number": "757-476-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS IMAGES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "PHILLIPS",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "757-476-7335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorious Images",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.