NPIMap

Organization Active NPI

Carroll W Poovey Jr Optometrist

  • Optometrist
  • Christiansburg, VA
National Provider Identifier
1982803615
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000105 Issued in VA
Legal business name
CARROLL W POOVEY JR OPTOMETRIST
Practice address
2400 N Franklin St
Christiansburg, VA 24073-1088
Phone
(540) 381-3366
Fax
(540) 381-2007
NPI assigned
Jul 12, 2007
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Carroll Wilburn Poovey Jr., O.D.NPI 1699785972
Title
President
Phone
(540) 381-3366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000105 VA Primary

Addresses

Primary practice location

2400 N Franklin St
Christiansburg, VA 24073-1088

Mailing address

PO Box 648
Christiansburg, VA 24068-0648
Phone (540) 381-3366

National Provider Directory

National Provider Directory

Locations

2400 N Franklin St
Christiansburg, VA 24073
Phone (540) 381-0882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1982803615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240680648",
            "telephone_number": "540-381-3366",
            "fax_number": "540-381-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N FRANKLIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731088",
            "telephone_number": "540-381-3366",
            "fax_number": "540-381-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL W POOVEY JR OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "POOVEY",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "WILBURN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-381-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.