Organization Active NPI

Eyedeal, Inc.

  • Eyewear Supplier
  • Culpeper, VA
National Provider Identifier
1972615003
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
0277590001 Issued in VA
Legal business name
EYEDEAL, INC.
Practice address
633 Sunset LN Ste D
Culpeper, VA 22701-3942
Phone
(540) 825-4857
Fax
(540) 825-9431
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. David Russell Brear, M.D.NPI 1174548382
Title
Ceo
Phone
(540) 825-4857

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
Eyewear Supplier 332H00000X 0277590001 VA Primary

Addresses

Primary practice location

633 Sunset LN Ste D
Culpeper, VA 22701-3942

Mailing address

633 Sunset LN Ste D
Culpeper, VA 22701-3942
Phone (540) 825-4857

National Provider Directory

National Provider Directory

Locations

633 Sunset Ln
Ste D
Culpeper, VA 22701
Phone (540) 825-4857

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1972615003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 SUNSET LN STE D",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013942",
            "telephone_number": "540-825-4857",
            "fax_number": "540-825-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SUNSET LN STE D",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013942",
            "telephone_number": "540-825-4857",
            "fax_number": "540-825-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BREAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-825-4857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "0277590001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.