Individual provider Active NPI

Jamie Pucci, OD

  • Low Vision Rehabilitation Optometrist
  • Richmond, VA
National Provider Identifier
1831671213
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
0618002934 Issued in VA
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

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001002747 VA Practitioner - Optometry 0345669800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34066TLGCAMDOptometrist
TUV008895-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Eye & Ear Health Care Low Vision Rehabilitation CurrentSince Oct 1, 2020 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.

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

Verify at the official NPI Registry.