NPIMap

Organization Active NPI

Optometric Services

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1790098325
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001612 Issued in VA
Legal business name
OPTOMETRIC SERVICES
Practice address
792 Old Cutler Rd
Virginia Beach, VA 23454-6050
Phone
(757) 705-3082
Fax
(757) 340-0891
NPI assigned
Jul 25, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Dr. Jennifer Braun Bowers, O.D.NPI 1730215930
Title
President
Phone
(757) 705-3082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001612 VA Primary

Addresses

Primary practice location

792 Old Cutler Rd
Virginia Beach, VA 23454-6050

Mailing address

792 Old Cutler Rd
Virginia Beach, VA 23454-6050
Phone (757) 705-3082

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": "1280016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1790098325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 OLD CUTLER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546050",
            "telephone_number": "757-705-3082",
            "fax_number": "757-340-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 OLD CUTLER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546050",
            "telephone_number": "757-705-3082",
            "fax_number": "757-340-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-25",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BRAUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-705-3082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

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

Verify at the official NPI Registry.