Individual provider Active NPI

Charles Winston Harrill, OD

  • Optometrist
  • Mechanicsville, VA
National Provider Identifier
1851383186
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000061 Issued in VA
Practice address
7290 Hanover Green Dr
Mechanicsville, VA 23111-1706
Phone
(804) 746-1950
Fax
(804) 746-3275
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000061 VA Primary

Addresses

Primary practice location

7290 Hanover Green Dr
Mechanicsville, VA 23111-1706

Mailing address

PO Box 667
Mechanicsville, VA 23111-0667
Phone (804) 746-1950

Other identifiers 1

IdentifierTypeStateIssuer
00923583MedicaidVA

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
I20100629000430 VA Practitioner - Optometry 6002947496 Practice locations: Mechanicsville, VA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7290 Hanover Green Dr
Mechanicsville, VA 23111-1706
Phone (804) 746-1950

P O Box
Suite 667
Mechanicsville, VA 23111-0667

PO Box
Suite 667
Mechanicsville, VA 23111-0667

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
550SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles W. Harrill, O. D. CurrentSince Dec 1, 1975 Accepting new patients

Locations

7290 Hanover Green Dr
Mechanicsvlle, VA 23111
Phone (804) 746-1950

Interoperability endpoints

  • Direct secure messaging: drharrill@cwharrillod.eyeclinicdirect.net

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1851383186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231110667",
            "telephone_number": "804-746-1950",
            "fax_number": "804-746-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 HANOVER GREEN DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111706",
            "telephone_number": "804-746-1950",
            "fax_number": "804-746-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRILL",
        "first_name": "CHARLES",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00923583",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.