NPIMap

Organization Active NPI

Jenny Alsop, OD PLLC

Doing business as Midlothian Optometric Center

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1790023331
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001779 Issued in VA
Legal business name
JENNY ALSOP, OD PLLC
Doing business as
Midlothian Optometric Center
Practice address
1306 Alverser PLZ
Midlothian, VA 23113-2604
Phone
(804) 379-1872
Fax
(804) 379-0772
NPI assigned
Jan 16, 2013
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Dr. Jenny Alsop, ODNPI 1245494863
Title
Manager
Phone
(804) 379-1872

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001779 VA Primary

Addresses

Primary practice location

1306 Alverser PLZ
Midlothian, VA 23113-2604

Mailing address

1306 Alverser PLZ
Midlothian, VA 23113-2604
Phone (804) 379-1872

Other names 1

  • Midlothian Optometric Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150605002661 VA Part B Supplier - Clinic/Group Practice 5991026684 Receives reassigned benefits from 3 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1790023331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-379-1872",
            "fax_number": "804-379-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-379-1872",
            "fax_number": "804-379-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY ALSOP, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "ALSOP",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-379-1872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midlothian Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.