Organization Active NPI

Gregory K. Dixon, OD, LLC

  • Optometrist
  • Culpeper, VA
National Provider Identifier
1821281197
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000159 Issued in VA
Legal business name
GREGORY K. DIXON, OD, LLC
Practice address
696 Meadowbrook Dr
Culpeper, VA 22701-3971
Phone
(540) 825-6161
Fax
(540) 825-9612
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Gregory K Dixon, O.D.NPI 1740384361
Title
Optometrist
Phone
(540) 825-6161

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 0618000159 VA Primary

Addresses

Primary practice location

696 Meadowbrook Dr
Culpeper, VA 22701-3971

Mailing address

696 Meadowbrook Dr
Culpeper, VA 22701-3971
Phone (540) 825-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041208000886 VA Part B Supplier - Clinic/Group Practice 8527024736 Receives reassigned benefits from 1 practitioner
Practice locations: Culpeper, VA
O20100930091876 VA DME Supplier - Physician - Optometrist 8527024736 Practice locations: Culpeper, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dr Gregory K Dixon OD LLC696 Meadowbrook Dr, Culpeper, VA 22701-3971(540) 825-6161 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory

Locations

696 Meadowbrook Dr
Culpeper, VA 22701
Phone (540) 825-6161

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1821281197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MEADOWBROOK DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013971",
            "telephone_number": "540-825-6161",
            "fax_number": "540-825-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MEADOWBROOK DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013971",
            "telephone_number": "540-825-6161",
            "fax_number": "540-825-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY K. DIXON, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "540-825-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.