NPIMap

Organization Active NPI

Virginia Eye Health Partners, LLC

  • Optometrist
  • Henrico, VA
National Provider Identifier
1891079117
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001823 Issued in VA
Legal business name
VIRGINIA EYE HEALTH PARTNERS, LLC
Practice address
11643 W Broad St
Henrico, VA 23233-1004
Phone
(804) 433-3949
NPI assigned
Oct 5, 2011
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE SURGEONS OF RICHMOND, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Mr. Eddie Clark
Title
Chief Financial Officer
Phone
(804) 287-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001823 VA Primary

Addresses

Primary practice location

11643 W Broad St
Henrico, VA 23233-1004

Mailing address

400 Westhampton Sta
Richmond, VA 23226-3330
Phone (804) 287-4200

National Provider Directory

National Provider Directory
Part of
Eye Surgeons of Richmond

Locations

11413 Midlothian Tpke
#102
North Chesterfield, VA 23235
Phone (804) 302-4182

Practitioners & affiliated clinicians

Practitioners 6

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": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1891079117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTHAMPTON STA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263330",
            "telephone_number": "804-287-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11643 W BROAD ST",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331004",
            "telephone_number": "804-433-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA EYE HEALTH PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE SURGEONS OF RICHMOND, INC.",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "804-287-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.