Organization Active NPI

Vision Health Center O.D. P.L.L.C.

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1902041346
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001266 Issued in VA
Legal business name
VISION HEALTH CENTER O.D. P.L.L.C.
Practice address
3500 Plank Rd
Suite I
Fredericksburg, VA 22407-6887
Phone
(540) 786-2786
NPI assigned
Dec 15, 2008
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Dr. John Charles McGuire III, O.D.NPI 1972580017
Title
Optometrist
Phone
(540) 786-2786

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 0618001266 VA Primary

Addresses

Primary practice location

3500 Plank Rd
Suite I
Fredericksburg, VA 22407-6887

Mailing address

705 Kilarney Dr
Fredericksburg, VA 22407-6509
Phone (540) 786-2786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000304 VA Part B Supplier - Clinic/Group Practice 5395877948 Receives reassigned benefits from 1 practitioner
Practice locations: Locust Grove, VA; Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

3500 Plank Rd
Ste I
Fredericksburg, VA 22407
Phone (540) 785-9535

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": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1902041346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 KILARNEY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076509",
            "telephone_number": "540-786-2786",
            "fax_number": "540-785-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PLANK RD",
            "address_2": "SUITE I",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076887",
            "telephone_number": "540-786-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HEALTH CENTER O.D. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "540-786-2786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.