Active NPI
Gregory Kenneth Dixon, O.D.
- Optometrist
- Culpeper, VA
National Provider Identifier
1740384361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000159
- Practice address
- 696 Meadowbrook Dr
Culpeper, VA 22701-3971 - Phone
- (540) 825-6161
- Fax
- (540) 825-9612
- NPI assigned
- Sep 12, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000159 | VA | Primary |
Addresses
Primary practice location
696 Meadowbrook Dr
Culpeper, VA 22701-3971
Mailing address
696 Meadowbrook Dr
Culpeper, VA 22701-3971
Phone (540) 825-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0618000159 | Other | VA | BOARD OF OPTOMETRY |
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
- University of Missouri St Louis - School of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
696 Meadowbrook Dr
Culpeper, VA 22701-3971
Phone (540) 825-6161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Culpeper, VA
- NPI 1821281197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1740384361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 MEADOWBROOK DR",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227013971",
"telephone_number": "540-825-6161",
"fax_number": "540-825-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 MEADOWBROOK DR",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227013971",
"telephone_number": "540-825-6161",
"fax_number": "540-825-9612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "GREGORY",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF OPTOMETRY",
"identifier": "0618000159",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Culpeper, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.