Active NPI
Ben Andrew Pilskalns, O.D.
- Optometrist
- South Hill, VA
National Provider Identifier
1710945035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001558
- Practice address
- 129 E Ferrell St
South Hill, VA 23970-2101 - Phone
- (434) 447-3220
- Fax
- (434) 447-2309
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5408T2319 | OH | |
| Optometrist | 152W00000X | 0618001558 | VA | Primary |
Addresses
Primary practice location
129 E Ferrell St
South Hill, VA 23970-2101
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
129 E Ferrell St
South Hill, VA 23970-2101
Phone (434) 447-3220
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010257042 | Medicaid | VA | |
| 194021 | Other | VA | ANTHEM BCBS EMP PROV # |
| 194019 | Other | VA | ANTHEM BCBS SOH PROV # |
| P00325745 | Other | VA | RR MEDICARE INDIVIDUAL # |
| 010285691 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
129 E Ferrell St
South Hill, VA 23970-2101
Phone (434) 447-3220
44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5408T2319 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Virginia PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Ashburn, VA
- NPI 1174933691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1710945035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 E FERRELL ST",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239702101",
"telephone_number": "434-447-3220",
"fax_number": "434-447-2309"
}
],
"practiceLocations": [
{
"address_1": "129 E Ferrell St",
"address_purpose": "LOCATION",
"city": "South Hill",
"state": "VA",
"postal_code": "239702101",
"country_code": "US",
"telephone_number": "434-447-3220",
"fax_number": "434-447-2309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILSKALNS",
"first_name": "BEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5408T2319",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010257042",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS EMP PROV #",
"identifier": "194021",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS SOH PROV #",
"identifier": "194019",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL #",
"identifier": "P00325745",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010285691",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Hill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.