Short Pump Family Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001941 Issued in VA

Legal business name

SHORT PUMP FAMILY EYE CARE, PLLC

Practice address

11591 W Broad St Ste C
Richmond, VA 23233-1186

Phone

(804) 364-0823

Fax

(804) 364-8943

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mia FrippsNPI 1912213174

Title

Optometrist/Owner

Phone

(804) 365-2111

Specialties & licenses 1

Addresses

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.

• Mia N Fripps, OD

  • Optometrist
  • Glenn Allen, VA
  • NPI 1912213174
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1922477967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11591 W BROAD ST STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331186",
            "telephone_number": "804-364-0823",
            "fax_number": "804-364-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11591 W BROAD ST STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331186",
            "telephone_number": "804-364-0823",
            "fax_number": "804-364-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT PUMP FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "FRIPPS",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "804-365-2111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Eileen Shook, MD
• Zachary M. Shook, M.D.
• Amanda Shore, LCSW
• David Shore, CSAC
• Short Pump Family Dentistry
• Short Pump Imaging LLC
• Short Pump Imaging LLC
• Short Pump Orthodontics, PC
• Short Pump Pharmacy
• Brittany Short

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.