NPIMap

Organization Active NPI

Grove Ave Eye Center PC

  • Optometrist
  • Richmond, VA
National Provider Identifier
1801976097
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GROVE AVE EYE CENTER PC
Practice address
3601 Grove Ave
Richmond, VA 23221-2201
Phone
(804) 358-8443
Fax
(804) 358-1395
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Gerald Robert Neidigh Jr., O.D.NPI 1841370012
Title
VP/Optometrist
Phone
(804) 353-3937

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 Primary

Addresses

Primary practice location

3601 Grove Ave
Richmond, VA 23221-2201

Mailing address

3601 Grove Ave
Richmond, VA 23221-2201
Phone (804) 358-8443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000534 VA Part B Supplier - Clinic/Group Practice 1759411663 Receives reassigned benefits from 13 practitioners
Practice locations: Midlothian, VA; Richmond, VA

National Provider Directory

National Provider Directory

Locations

3601 Grove Ave
Richmond, VA 23221
Phone (804) 353-3937

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1801976097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212201",
            "telephone_number": "804-358-8443",
            "fax_number": "804-358-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212201",
            "telephone_number": "804-358-8443",
            "fax_number": "804-358-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE AVE EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "NEIDIGH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "VP/OPTOMETRIST",
        "authorized_official_telephone_number": "804-353-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 10, 2010; 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.