Organization Active NPI

Bdeyes, PC

Doing business as Chatham Eyecare Center

  • Optometrist
  • Chatham, VA
National Provider Identifier
1871880872
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152W00000X Issued in VA
Legal business name
BDEYES, PC
Doing business as
Chatham Eyecare Center
Practice address
13995 US Highway 29
Suite 100
Chatham, VA 24531-5278
Phone
(434) 432-9752
NPI assigned
Jun 29, 2011
Last updated
Jun 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Dr. Bryn Erin Debass, O.D.NPI 1902005978
Title
President
Phone
(434) 432-9752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 152W00000X VA Primary

Addresses

Primary practice location

13995 US Highway 29
Suite 100
Chatham, VA 24531-5278

Mailing address

13995 US Highway 29
Suite 100
Chatham, VA 24531-5278
Phone (434) 432-9752

Other names 1

  • Chatham Eyecare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000004 VA Part B Supplier - Clinic/Group Practice 7416126156 Receives reassigned benefits from 1 practitioner
Practice locations: Chatham, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1871880872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13995 US HIGHWAY 29",
            "address_2": "SUITE 100",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245315278",
            "telephone_number": "434-432-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13995 US HIGHWAY 29",
            "address_2": "SUITE 100",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245315278",
            "telephone_number": "434-432-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDEYES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "DEBASS",
        "authorized_official_first_name": "BRYN",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-432-9752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.