Myeyedr Optometry of Virginia, PLLC
Organization Active NPI Optometrist · Appomattox, VA
NPI 1972077006 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1972077006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
- Practice address
- 7803 Richmond Hwy
Appomattox, VA 24522-9877 - Phone
- (434) 352-5908
- Fax
- (434) 352-2918
- NPI assigned
- Jan 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Sue Healey
- Title
- Secretary
- Phone
- (703) 847-8899
Corporate family (same tax ID) 15
Practitioners 4
-
Hun Ki Hong, OD
-
Jared Acker Grant, O.D.
-
Saher Sayed, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140828001354 | VA | Part B Supplier - Clinic/Group Practice | 0143448456 |
Receives reassigned benefits from 329 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Myeyedr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
7803 Richmond Hwy
Appomattox, VA 24522-9877
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr.
Other providers in Appomattox, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.