Individual provider Active NPI

Tori Pierce

  • Optometrist
  • Williamsburg, VA
National Provider Identifier
1851158901
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003405 Issued in VA
Practice address
5273 John Tyler Hwy
Williamsburg, VA 23185-2553
Phone
(757) 903-2633
Fax
(757) 903-2634
NPI assigned
Mar 5, 2024
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003405 VA Primary

Addresses

Primary practice location

5273 John Tyler Hwy
Williamsburg, VA 23185-2553

Mailing address

5273 John Tyler Hwy
Williamsburg, VA 23185-2553
Phone (757) 903-2633

Other practice location 1

11847 Aspengraf Ln
New Kent, VA 23124-2130
Phone (804) 932-6225

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
I20240606004372 VA Practitioner - Optometry 2769924695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FinpaxGroup PAC ID 9638501562, 2 clinicians
Colonial Eye Care, PLCGroup PAC ID 5991994329, 3 clinicians

Practice addresses (Care Compare)

11847 Aspengraf LN
Suite a
New Kent, VA 23124-2130
Phone (804) 932-6225

5273 John Tyler Hwy
Williamsburg, VA 23185-2553
Phone (757) 903-2633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003405VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Finpax Optometrist CurrentSince May 17, 2024 Accepting new patients

Locations

11847 Aspengraf Ln
Ste A
New Kent, VA 23124
Phone (804) 557-2169

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1851158901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5273 JOHN TYLER HWY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852553",
            "telephone_number": "757-903-2633",
            "fax_number": "757-903-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5273 JOHN TYLER HWY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852553",
            "telephone_number": "757-903-2633",
            "fax_number": "757-903-2634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11847 Aspengraf Ln",
            "address_purpose": "LOCATION",
            "city": "New Kent",
            "state": "VA",
            "postal_code": "231242130",
            "country_code": "US",
            "telephone_number": "804-932-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "TORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.