Active NPI
James Edward Grau, O.D.
- Optometrist
- Abingdon, VA
National Provider Identifier
1992806566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000167
- Practice address
- 699 McBroom St NW
Suite a
Abingdon, VA 24210-2511 - Phone
- (276) 628-1143
- Fax
- (276) 628-9522
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000167 | VA | Primary |
Addresses
Primary practice location
699 McBroom St NW
Suite a
Abingdon, VA 24210-2511
Mailing address
699 McBroom St NW
Suite a
Abingdon, VA 24210-2511
Phone (276) 628-1143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009205136 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1992806566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 MCBROOM ST NW",
"address_2": "SUITE A",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102511",
"telephone_number": "276-628-1143",
"fax_number": "276-628-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 MCBROOM ST NW",
"address_2": "SUITE A",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102511",
"telephone_number": "276-628-1143",
"fax_number": "276-628-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAU",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009205136",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.