JESSICA NISEWONGER, OD, LLC (NPI# 1003289042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003289042 |
| Entity Type | Organization |
| Organization Name | JESSICA NISEWONGER, OD, LLC |
| Other Organization Name | FAMILY VISION CARE |
| Practice Address |
798 Southpark Blvd Suite 24 Colonial Heights VA 23834-3615 |
| Practice Telephone | 8045240200 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | DR. JESSICA ANN NISEWONGER (OPTOMETRIST) |
| Authorized Official Telephone | 8048961622 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002132 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1609137611 | 05 |
| Other Name | Type Code |
|---|---|
| Family Vision Care | Doing Business As Name - Organization |
| Street Address |
798 SOUTHPARK BLVD SUITE 24 |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-3615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558429761 | James M Taylor Jr. | Chiropractor | 798 Southpark Blvd, Ste 7, Colonial Heights, VA 23834 | 2006-12-04 |
| 1952790305 | April Walker | Counselor | 798 Southpark Blvd, Suite 32, Colonial Heights, VA 23834-3615 | 2015-01-22 |
| 1952725293 | Lauren Whitney Hovis | Counselor | 798 Southpark Blvd, Suite 16, Colonial Heights, VA 23834-3615 | 2014-02-06 |
| 1174869416 | Tiffany Rose Foy | Psychologist | 798 Southpark Blvd, Suite 32, Colonial Heights, VA 23834-3615 | 2012-12-13 |
| 1003179441 | Dorothy Ann Shellman | Counselor | 798 Southpark Blvd, Suite 32, Colonial Heights, VA 23834-3615 | 2012-06-20 |
| 1609137611 | Jessica Ann Nisewonger | Optometrist | 798 Southpark Blvd, Suite 24, Colonial Heights, VA 23834-3615 | 2012-06-06 |
| 1265731749 | Kristin Lints | Social Worker | 798 Southpark Blvd, Suite 8, Colonial Heights, VA 23834-3615 | 2011-03-23 |
| 1114238375 | Good Neighbor Mental Health Support, Inc. | Community/Behavioral Health | 798 Southpark Blvd, Suite 16, Colonial Heights, VA 23834-3615 | 2010-06-23 |
| 1659501328 | Jarrod Robert Reisweber | Psychologist | 798 Southpark Blvd, Suite 16, Colonial Heights, VA 23834-3615 | 2009-07-16 |
| 1295999316 | Tawfiq Alkilani | Dentist | 798 Southpark Blvd, Suite 26, Colonial Heights, VA 23834-3615 | 2008-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588011738 | Michael F Polo | Optometrist | 3731 Boulevard, Colonial Heights, VA 23834-1346 | 2016-05-18 |
| 1326398181 | Virginia Eye Health Partners, LLC | Optometrist | 1078 Temple Ave, Colonial Heights, VA 23834-2981 | 2012-09-19 |
| 1760567051 | William E. Shaw, Jr., Md LLC. | Optometrist | 114 Southpark Circle, C/o Sears Optical, Colonial Heights, VA 23834 | 2006-10-26 |
| 1497765739 | Drs Gilbert & Farley Odpc | Optometrist | 3731 A Boulevard, Colonial Heights, VA 23834 | 2006-08-09 |
| 1336189331 | Megan S Parker | Optometrist | 3731 Blvd, Ste A, Colonial Heights, VA 23834 | 2006-06-07 |
| 1962440156 | Gwendolyn A. Wooden | Optometrist | 1847b Southpark Blvd, Colonial Heights, VA 23834-3607 | 2006-06-02 |
| 1851343404 | Virginia Vision Associates, LLC | Optometrist | 671 Southpark Blvd, Colonial Heights, VA 23834-3617 | 2006-05-16 |
| 1457322729 | Shaw S Lee | Optometrist | 114 Southpark Cir, Colonial Heights, VA 23834-2963 | 2006-01-27 |
| 1326428681 | Dane Joseph Gies | Optometrist | 723 Southpark Blvd, Colonial Heights, VA 23834-3628 | 2015-06-02 |
| 1609137611 | Jessica Ann Nisewonger | Optometrist | 798 Southpark Blvd, Suite 24, Colonial Heights, VA 23834-3615 | 2012-06-06 |
| Find all providers in COLONIAL HEIGHTS | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
Please comment or provide details below to improve the information on JESSICA NISEWONGER, OD, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.