Individual provider Active NPI

William Scott Mann, OPTOMETRIST

  • Optometrist
  • Christiansburg, VA
National Provider Identifier
1821036104
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000201 Issued in VA
Practice address
29 W Main St
Christiansburg, VA 24073-2941
Phone
(540) 381-2020
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000201 VA Primary

Addresses

Primary practice location

29 W Main St
Christiansburg, VA 24073-2941

Mailing address

511 Walker St
Radford, VA 24141-2416
Phone (540) 639-2020

Other identifiers 3

IdentifierTypeStateIssuer
410049825OtherVAPALMETTO
9237208MedicaidVA
461364OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000536 VA Practitioner - Optometry 4688683758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Salem, IncGroup PAC ID 4688683741, 5 clinicians
Eye Care Christiansburg IncGroup PAC ID 8022189646, 5 clinicians

Practice addresses (Care Compare)

101 W 4TH St
Salem, VA 24153-3638

101 W 4TH St
Salem, VA 24153-4907
Phone (540) 387-1183

29 W Main St
Christiansburg, VA 24073-2941
Phone (540) 381-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000201VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Christiansburg Inc Optometrist CurrentSince Jan 1, 2002 Accepting new patients
Eyecare Salem, Inc Optometrist CurrentSince Jan 1, 2003 Accepting new patients

Locations

29 W Main St
Christiansburg, VA 24073
Phone (540) 381-2020

101 W 4th St
Salem, VA 24153
Phone (540) 387-1183

115 Roanoke Blvd
Salem, VA 24153
Phone (540) 387-1183

Interoperability endpoints

  • Direct secure messaging: drscottmann@invisionsalem.eyefinity-direct.com
  • Direct secure messaging: drscottmann@invisionchristiansburg.eyefinity-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821036104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WALKER ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412416",
            "telephone_number": "540-639-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W MAIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732941",
            "telephone_number": "540-381-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "410049825",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9237208",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "461364",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.