Individual provider Active NPI

Jacqueline A Garringer, M.D.

  • Optometrist
  • Winchester, VA
National Provider Identifier
1730113028
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
101235787 Issued in VA
Practice address
302 S Cameron St
Winchester, VA 22601-4603
Phone
(540) 667-7463
Fax
(540) 667-6167
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 101235787 VA Primary

Addresses

Primary practice location

302 S Cameron St
Winchester, VA 22601-4603

Mailing address

302 S Cameron St
Winchester, VA 22601-4603
Phone (540) 667-7463

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001232 VA Practitioner - Ophthalmology 3870685803 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101235787VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Northern Virginia Eye Institute CurrentSince Jan 1, 2021 Accepting new patients
Mypotential Virginia, LLC PastSince Jan 1, 2021 Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

621 W Jubal Early Dr
Ste D
Winchester, VA 22601
Phone (540) 313-4435

Organizations & group practices 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1730113028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S CAMERON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014603",
            "telephone_number": "540-667-7463",
            "fax_number": "540-667-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S CAMERON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014603",
            "telephone_number": "540-667-7463",
            "fax_number": "540-667-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRINGER",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "101235787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.