Active NPI
Martha K Proffitt
- Optician
- Staunton, VA
National Provider Identifier
1891881207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1101001801
- Practice address
- 1500 Commerce Rd
Staunton, VA 24401-9032 - Phone
- (540) 213-7720
- Fax
- (540) 213-9441
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101001801 | VA | Primary |
Addresses
Primary practice location
1500 Commerce Rd
Staunton, VA 24401-9032
Mailing address
17 N Medical Park Dr
Fishersville, VA 22939-2344
Phone (540) 213-7720
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1101001801 | VA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye One, PLC | Past | Accepting new patients | |
| Augusta Eye Associates PLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Staunton, VA
- NPI 1760668545
-
- Ophthalmology Physician
- Charlottesville, VA
- NPI 1982613576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1891881207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 N MEDICAL PARK DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392344",
"telephone_number": "540-213-7720",
"fax_number": "540-213-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 COMMERCE RD",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244019032",
"telephone_number": "540-213-7720",
"fax_number": "540-213-9441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFFITT",
"first_name": "MARTHA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "1101001801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.