Active NPI
Peninsula Eye Care, LLC
- Optometrist
- Yorktown, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002155
- Legal business name
- PENINSULA EYE CARE, LLC
- Practice address
- 1215 George Washington Mem Hwy Ste V
Yorktown, VA 23693-4316 - Phone
- (757) 978-2020
- NPI assigned
- Nov 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Buck, O.D.
- Title
- Sole Proprietor/Sole Manager
- Phone
- (757) 814-0827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002155 | VA | Primary |
Addresses
Primary practice location
1215 George Washington Mem Hwy Ste V
Yorktown, VA 23693-4316
Mailing address
1215 George Washington Mem Hwy Ste V
Yorktown, VA 23693-4316
Phone (757) 978-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1215 George Washington Mem Hwy
Ste D
Yorktown, VA 23693
Phone (757) 522-7117
1215 George Washington Mem Hwy
Yorktown, VA 23693
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Yorktown, VA
- NPI 1245594407
-
- Optometrist
- Yorktown, VA
- NPI 1346681749
-
- Optometrist
- Yorktown, VA
- NPI 1326746264
-
- Optometrist
- Newport News, VA
- NPI 1578102679
-
- Optometrist
- Franklin, VA
- NPI 1326656687
-
- Optometrist
- Yorktown, VA
- NPI 1386640308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1710420856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 GEORGE WASHINGTON MEM HWY STE V",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236934316",
"telephone_number": "757-978-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 GEORGE WASHINGTON MEM HWY STE V",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236934316",
"telephone_number": "757-978-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENINSULA EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "BUCK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "SOLE PROPRIETOR/SOLE MANAGER",
"authorized_official_telephone_number": "757-814-0827",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618002155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.