Albemarle Pediatric Ophthalmology & Strabismus PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101239819 Issued in VA

Legal business name

ALBEMARLE PEDIATRIC OPHTHALMOLOGY & STRABISMUS PC

Practice address

1101 East Jefferson Street
Suite 3
Charlottesville, VA 22902-5353

Phone

(434) 295-5193

Fax

(434) 977-0714

NPI assigned

Nov 22, 2006

Last updated

Apr 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gale Kinnier Martin

Title

Office Administrator

Phone

(434) 295-5193

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Thomas Carter, MD

  • Ophthalmology Physician
  • Charlottesville, VA
  • NPI 1972510113
  Medicare reassignment NPD
• Bruce C Carter, MD

  • Ophthalmology Physician
  • Charlottesville, VA
  • NPI 1477555399
  Medicare reassignment

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1750456745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EAST JEFFERSON STREET",
            "address_2": "SUITE 3",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025353",
            "telephone_number": "434-295-5193",
            "fax_number": "434-977-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EAST JEFFERSON STREET",
            "address_2": "SUITE 3",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025353",
            "telephone_number": "434-295-5193",
            "fax_number": "434-977-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE PEDIATRIC OPHTHALMOLOGY & STRABISMUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "KINNIER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "434-295-5193",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101239819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1477555399",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "435561",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1972510113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "400262000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "003205",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006370551",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010299349",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albemarle Housing Improvement Program,Inc.
• Albemarle Internal Medicine
• Albemarle Lifecare Corp
• Albemarle Limousine and Travel Service LLC
• Albemarle Orthopaedics and Rehabilitation, PLLC
• Albemarle Physical Therapy
• Kimberly Albero, DNP FNP-BC
• Albert Family Dentistry
• Kevin Mark Albert, D.D.S.
• Thomas Albert, M.D.

• Ophthalmology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.