Virginia Vision Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001482 Issued in VA

Legal business name

VIRGINIA VISION ASSOCIATES, LLC

Practice address

671 Southpark Blvd
Colonial Heights, VA 23834-3617

Phone

(804) 520-8290

Fax

(804) 520-8291

NPI assigned

May 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard C Bedell, O.D.

Title

Partner

Phone

(804) 897-0907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851343404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ROYAL RIDGE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144431",
            "telephone_number": "804-897-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343617",
            "telephone_number": "804-520-8290",
            "fax_number": "804-520-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "804-897-0907",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Eyecare Associates PC
• Virginia Medical Group PC
• Virginia Medical Group Sleep Center, LLC
• Virginia Medical Group, PC
• Virginia Surgical Care Center PC
• Ashley Nicole Waddell, LCSW
• Waitkus & Associates, P.C.
• Pamela Ann Waitkus, LPC LMFT
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1424)
• Wal-Mart Stores East, LP (Vision Center 30-1424)

• Optometrist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.