Active NPI
David J Hedges MD PC
- Ophthalmology Physician
- Blacksburg, VA
National Provider Identifier
1750485017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101032459
- Legal business name
- DAVID J HEDGES MD PC
- Practice address
- 110 Professional Park Drive
Suite 5
Blacksburg, VA 24060 - Phone
- (540) 552-4573
- Fax
- (540) 552-4612
- NPI assigned
- Sep 8, 2006
- 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 Joe Hedges, MD
- Title
- President
- Phone
- (540) 552-4573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101032459 | VA | Primary |
Addresses
Primary practice location
110 Professional Park Drive
Suite 5
Blacksburg, VA 24060
Mailing address
110 Professional Park Drive
Suite 5
Blacksburg, VA 24060
Phone (540) 552-4573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6357849 | Medicaid | VA |
Other names 1
- Eye Surgery Associates of SWVA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Roanoke, VA
- NPI 1760533608
-
- Corneal and Contact Management Optometrist
- Blacksburg, VA
- NPI 1235144106
-
- Ophthalmology Physician
- Roanoke, VA
- NPI 1891255410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1750485017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PROFESSIONAL PARK DRIVE",
"address_2": "SUITE 5",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "24060",
"telephone_number": "540-552-4573",
"fax_number": "540-552-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PROFESSIONAL PARK DRIVE",
"address_2": "SUITE 5",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "24060",
"telephone_number": "540-552-4573",
"fax_number": "540-552-4612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J HEDGES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "HEDGES",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "540-552-4573",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101032459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6357849",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Surgery Associates of SWVA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.