NPIMap

Organization Active NPI

Virginia Visioncare, PLLC

  • Optometrist
  • Chester, VA
National Provider Identifier
1932544129
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001963 Issued in VA
Legal business name
VIRGINIA VISIONCARE, PLLC
Doing business as
River's Bend Eyecare
Practice address
204 Johnson Creek Dr
Chester, VA 23836-2840
Phone
(804) 530-3937
Fax
(804) 530-3934
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Dr. Inderpreet K Datta, ODNPI 1164735338
Title
Owner
Phone
(508) 837-3790

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001963 VA Primary

Addresses

Primary practice location

204 Johnson Creek Dr
Chester, VA 23836-2840

Mailing address

16025 Drumone Rd
Midlothian, VA 23112-5533
Phone (804) 530-3937

Other names 1

  • River's Bend Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140709001595 VA Part B Supplier - Clinic/Group Practice 7911122809 Receives reassigned benefits from 2 practitioners
Practice locations: Chester, VA

National Provider Directory

National Provider Directory

Locations

204 Johnson Creek Dr
Chester, VA 23836
Phone (804) 530-3937

Practitioners & affiliated clinicians

Practitioners 2

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": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1932544129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 DRUMONE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231125533",
            "telephone_number": "804-530-3937",
            "fax_number": "804-530-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JOHNSON CREEK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362840",
            "telephone_number": "804-530-3937",
            "fax_number": "804-530-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA VISIONCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "INDERPREET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-837-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River's Bend Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River's Bend Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.