Sharpvue Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHARPVUE EYECARE PLLC

Practice address

15243 Forest Rd Ste E
Forest, VA 24551-4974

Phone

(434) 525-2830

NPI assigned

Mar 31, 2020

Last updated

Mar 31, 2020By 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

Anna H Farouq, ODNPI 1427062280

Title

Optometrist

Phone

(704) 277-6755

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Anna H Farouq, O.D.

  • Optometrist
  • Forest, VA
  • NPI 1427062280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1891323101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 FOREST RD STE E",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514974",
            "telephone_number": "434-525-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 FOREST RD STE E",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514974",
            "telephone_number": "434-525-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARPVUE EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "FAROUQ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "704-277-6755",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "info@sharpvueeyecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15243 Forest Rd Ste E",
            "city": "Forest",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245514974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Optometrist in Forest, VA
• Providers in Forest, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.