Individual provider Active NPI

Tammy R Cox

  • Optician
  • Roanoke, VA
National Provider Identifier
1881750719
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101001638 Issued in VA
Practice address
1507 Hershberger Rd NW
Unit C
Roanoke, VA 24012-7319
Phone
(540) 362-0300
Fax
(540) 362-5574
NPI assigned
Dec 28, 2006
Last updated
Sep 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101001638 VA Primary

Addresses

Primary practice location

1507 Hershberger Rd NW
Unit C
Roanoke, VA 24012-7319

Mailing address

1507 Hershberger Rd NW
Unit C
Roanoke, VA 24012-7319
Phone (540) 362-0300

Other identifiers 1

IdentifierTypeStateIssuer
284114OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101001638VAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
National Optometric Center PLC Current Accepting new patients

Locations

1507 Hershberger Rd NW
Ste C
Roanoke, VA 24012
Phone (540) 362-0300

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, 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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1881750719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 HERSHBERGER RD NW",
            "address_2": "UNIT C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240127319",
            "telephone_number": "540-362-0300",
            "fax_number": "540-362-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 HERSHBERGER RD NW",
            "address_2": "UNIT C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240127319",
            "telephone_number": "540-362-0300",
            "fax_number": "540-362-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "TAMMY",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101001638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "284114",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.