Southwest Virginia Eye Center, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101040106 Issued in VA

Legal business name

SOUTHWEST VIRGINIA EYE CENTER, PLLC

Doing business as

Southwest Virginia Eye Center

Practice address

3090 Electric Rd
Fsuite B
Roanoke, VA 24018-3503

Phone

(540) 772-3978

Fax

(540) 400-0001

NPI assigned

Jun 6, 2008

Last updated

Jun 6, 2008By 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

Dr. Jonathan Stanwood Till, MDNPI 1497726475

Title

Owner

Phone

(540) 772-3978

Specialties & licenses 1

Addresses

Other names 1

• Southwest Virginia Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Till, MD

  • Ophthalmology Physician
  • Roanoke, VA
  • NPI 1497726475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1861651507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 ELECTRIC RD",
            "address_2": "FSUITE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183503",
            "telephone_number": "540-772-3978",
            "fax_number": "540-400-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 ELECTRIC RD",
            "address_2": "FSUITE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183503",
            "telephone_number": "540-772-3978",
            "fax_number": "540-400-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST VIRGINIA EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "TILL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "STANWOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-772-3978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101040106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Virginia Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southwest Medical Clinic
• Southwest Virginia Center for Cosmetic Plastic & Recon Surgery
• Southwest Virginia Nephrology LLC
• Southwest Virginia Nephrology Medicine, PC
• Southwest Virginia Oral & Maxillofacial Surgery, PLLC
• Ann B Sowers, M.D.
• Steven E. Sowers, D.D.S.

• Ophthalmology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.