Joy Poonvongprasert, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

008421 Issued in NY

Practice address

5001 Holt Ave
Hampton, VA 23666-2282

Phone

(757) 826-2435

Fax

(757) 637-0512

NPI assigned

Jun 14, 2016

Last updated

Sep 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Joy OD LLC

  • Optometrist
  • Hampton, VA
  • NPI 1700556826
  NPD Authorized official
• Empire Vision Center Inc

  dba Davis Vision

  • Technician/Technologist
  • Medford, NY
  • NPI 1982667390

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1790135424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OREGON DR",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HOLT AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662282",
            "telephone_number": "757-826-2435",
            "fax_number": "757-637-0512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 Route 112 Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NY",
            "postal_code": "117632535",
            "country_code": "US",
            "telephone_number": "631-289-3937",
            "fax_number": "631-207-0913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POONVONGPRASERT",
        "first_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002899",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Renee Poitier-Hickman, LCSW
• Vikram S. Pole, D.M.D.
• Karla Marie Polito, MD
• Scott M. Ponquinette, DC
• Tyler Christine Ponsart, ED.S.
• Breanna Yametri Pooran, PA-C
• Damon Pope
• Janet L. Pope, RDCS
• Janice Porter, NP
• Levar Porter

• Optometrist in Hampton, VA
• Providers in Hampton, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.