Organization Active NPI

Comprehensive Eyecare of Virginia

  • Optometrist
  • Tappahannock, VA
National Provider Identifier
1770801326
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001823 Issued in VA
Legal business name
COMPREHENSIVE EYECARE OF VIRGINIA
Practice address
1660 Tappahannock Blvd
Tappahannock, VA 22560-9320
Phone
(804) 443-2280
NPI assigned
May 6, 2010
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Dr. Charline M Anselme, O.D.NPI 1225262686
Title
Optometrist
Phone
(954) 326-0436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001823 VA Primary

Addresses

Primary practice location

1660 Tappahannock Blvd
Tappahannock, VA 22560-9320

Mailing address

516 Kerri Cove Way
203
Midlothian, VA 23113-6820
Phone (965) 326-0436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190501003293 VA Part B Supplier - Clinic/Group Practice 1557603081 Receives reassigned benefits from 1 practitioner
Practice locations: Colonial Heights, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1770801326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 KERRI COVE WAY",
            "address_2": "203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136820",
            "telephone_number": "965-326-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 TAPPAHANNOCK BLVD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225609320",
            "telephone_number": "804-443-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE EYECARE OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "ANSELME",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "954-326-0436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.