Organization Active NPI

Eye Care Physicians and Surgeons PC

  • Ophthalmology Physician
  • Woodstock, VA
National Provider Identifier
1912296005
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CARE PHYSICIANS AND SURGEONS PC
Practice address
755 S Main St
Suite B01
Woodstock, VA 22664-1143
Phone
(800) 831-1186
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Alla Y Golovkina-Hynes, MDNPI 1386690428
Title
Owner
Phone
(800) 831-1186

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X VA Primary

Addresses

Primary practice location

755 S Main St
Suite B01
Woodstock, VA 22664-1143

Mailing address

136 Linden Dr
Suite 104
Winchester, VA 22601-6900
Phone (540) 678-3588

Other identifiers 1

IdentifierTypeStateIssuer
DS5476OtherVAMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110531000435 VA Part B Supplier - Clinic/Group Practice 2062699085 Receives reassigned benefits from 3 practitioners
Practice locations: Winchester, VA; Woodstock, VA

National Provider Directory

National Provider Directory

Locations

401 Campus Blvd
Winchester, VA 22601
Phone (540) 536-3000

158 Front Royal Pike
Ste 300
Winchester, VA 22602
Phone (540) 409-5254

158 Front Royal Pike
Winchester, VA 22602
Phone (540) 667-8888

755 S Main St
Ste B01
Woodstock, VA 22664
Phone (504) 409-5254

103 W South St
Woodstock, VA 22664
Phone (540) 409-5254

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1912296005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016900",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S MAIN ST",
            "address_2": "SUITE B01",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641143",
            "telephone_number": "800-831-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE PHYSICIANS AND SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "GOLOVKINA-HYNES",
        "authorized_official_first_name": "ALLA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-831-1186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DS5476",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.