Active NPI
Jamie Pucci, OD
- Low Vision Rehabilitation Optometrist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 0618002934
- Practice address
- 8700 Stony Point Pkwy Ste 240
Richmond, VA 23235-1966 - Phone
- (804) 545-9435
- NPI assigned
- Sep 3, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002934 | VA | |
| Optometrist | 152W00000X | 34066TLG | CA | |
| Optometrist | 152W00000X | TUV008895-1 | NY | |
| Vision Therapy Optometrist | 152WV0400X | 0618002934 | VA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 0618002934 | VA | Primary |
Addresses
Primary practice location
8700 Stony Point Pkwy Ste 240
Richmond, VA 23235-1966
Mailing address
8700 Stony Point Pkwy Ste 240
Richmond, VA 23235-1966
Phone (048) 545-9435
Other practice location 1
22500 Town Cir Ste 2108
Moreno Valley, CA 92553-7517
Phone (951) 656-8270
Other practice location 2
279 Troy Rd
Rensselaer, NY 12144-9518
Phone (518) 286-9910
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34066TLG | CA | MD | Optometrist |
| TUV008895-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Eye & Ear Health Care | Low Vision Rehabilitation | Current | Accepting new patients |
Locations
8700 Stony Point Pkwy
Ste 240
Richmond, VA 23235
Phone (804) 545-9435
8700 Stony Point Pkwy
Ste 100
Richmond, VA 23235
Phone (804) 775-4500
8700 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 323-2001
Organizations & group practices 1
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.
-
- Low Vision Rehabilitation Optometrist
- Richmond, VA
- NPI 1467623553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1831671213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 STONY POINT PKWY STE 240",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351966",
"telephone_number": "048-545-9435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 STONY POINT PKWY STE 240",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351966",
"telephone_number": "804-545-9435"
}
],
"practiceLocations": [
{
"address_1": "22500 Town Cir Ste 2108",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925537517",
"country_code": "US",
"telephone_number": "951-656-8270",
"fax_number": "951-656-7535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "279 Troy Rd",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "NY",
"postal_code": "121449518",
"country_code": "US",
"telephone_number": "518-286-9910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUCCI",
"first_name": "JAMIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-03",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002934",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34066TLG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008895-1",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "VA",
"license": "0618002934",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "VA",
"license": "0618002934",
"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 Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.