NPIMap

Organization Active NPI

Dr Amanda Paull and Associates PLLC

  • Optometrist
  • Richmond, VA
National Provider Identifier
1992956163
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001501 Issued in VA
Legal business name
DR AMANDA PAULL AND ASSOCIATES PLLC
Practice address
9200 Stony Point Pkwy Ste 195B
Richmond, VA 23235-1971
Phone
(804) 272-0848
Fax
(804) 272-0849
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Amanda Paull, ODNPI 1376587022
Title
Owner
Phone
(804) 263-7845

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 0618001501 VA Primary

Addresses

Primary practice location

9200 Stony Point Pkwy Ste 195B
Richmond, VA 23235-1971

Mailing address

4541 Village Park Dr E
Williamsburg, VA 23185-2407
Phone (804) 263-7845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000672 VA Part B Supplier - Clinic/Group Practice 2163583824 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA; Williamsburg, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1992956163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 VILLAGE PARK DR E",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852407",
            "telephone_number": "804-263-7845",
            "fax_number": "804-335-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 STONY POINT PKWY STE 195B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351971",
            "telephone_number": "804-272-0848",
            "fax_number": "804-272-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AMANDA PAULL AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "PAULL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-263-7845",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.