Active NPI
Eileen Catherine McGill, OD
- Optometrist
- Richmond, VA
National Provider Identifier
1790953594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000672
- Practice address
- 11591C West Broad Street
Richmond, VA 23233-7678 - Phone
- (804) 364-0823
- Fax
- (804) 364-8943
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000672 | VA | Primary |
| Optometrist | 152W00000X | 1023 | SC |
Addresses
Primary practice location
11591C West Broad Street
Richmond, VA 23233-7678
Mailing address
3840 Houndstooth Court
Richmond, VA 23233-7678
Phone (804) 360-9171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023 | SC | MD | Clinical Psychologist |
| 0618000672 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1790953594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 HOUNDSTOOTH COURT",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232337678",
"telephone_number": "804-360-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11591C WEST BROAD STREET",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232337678",
"telephone_number": "804-364-0823",
"fax_number": "804-364-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "EILEEN",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000672",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1023",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.