EYE SURGEONS OF RICHMOND, INC. (NPI# 1093017170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093017170 |
| Entity Type | Organization |
| Organization Name | EYE SURGEONS OF RICHMOND, INC. |
| Other Organization Name | VIRGINIA EYE INSTITUTE |
| Practice Address |
2015 Waterside Rd Prince George VA 23875-1265 |
| Mailing Address |
400 Westhampton Sta Richmond VA 23226-3330 |
| Practice Telephone | 8042874200 |
| Practice Fax Number | 8042874210 |
| Mailing Telephone | 8042874200 |
| Mailing Fax Number | 8042874210 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | MR. EDDIE F. CLARK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8042874200 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 19340000X | VA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Virginia Eye Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699270496 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 6946 Forest Ave Ste 100, Richmond, VA 23230-1701 | 2018-03-26 |
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1063928984 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 11601 Iron Bridge Rd Ste 104, Chester, VA 23831-1467 | 2017-12-15 |
| 1437665353 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 8411 N Run Medical Dr, Mechanicsville, VA 23116 | 2017-12-15 |
| 1528336385 | Eye Surgeons of Richmond, Inc. | Optometrist | 12018 W Broad St, Suite 100, Henrico, VA 23233-7689 | 2011-12-08 |
| 1124396981 | Eye Surgeons of Richmond, Inc. | Optometrist | 611 Watkins Centre Pkwy, Suite 100, Midlothian, VA 23114-4404 | 2011-12-08 |
| 1669480448 | Eye Surgeons of Richmond, Inc. | Ophthalmology | 400 Westhampton Sta, Richmond, VA 23226-3330 | 2006-08-04 |
| 1184640344 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 400 Westhampton Sta, Richmond, VA 23226-3330 | 2006-07-14 |
| Street Address |
2015 WATERSIDE RD |
| City | PRINCE GEORGE |
| State | VA |
| Zip Code | 23875-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558372169 | James William Bowles | Ophthalmology | 2015 Waterside Rd, Prince George, VA 23875-1265 | 2006-08-10 |
| 1316296866 | Justin Autry | Optometrist | 2015 Waterside Rd, Prince George, VA 23875-1265 | 2012-08-30 |
| 1275630584 | William Waschler | Ophthalmology | 2015 Waterside Rd, Prince George, VA 23875-1265 | 2006-09-20 |
| 1346347655 | Brent Elliot Smith | Ophthalmology | 2015 Waterside Rd, Prince George, VA 23875-1265 | 2006-09-20 |
| 1730286048 | William Rosenberger II | Ophthalmology | 2015 Waterside Rd, Prince George, VA 23875-1265 | 2006-09-20 |
| 1639181472 | Kulsoom T. Murtaza | Optometrist | 2015 Waterside Rd, Prince George, VA 23875-1265 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1053815423 | Yolanda Larrette Hoag | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875 | 2018-03-21 |
| 1932534864 | Foundation for Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4301 Montreal Ave., Prince George, VA 23875 | 2013-09-11 |
| 1073889697 | Jemina M Liverman | Nurse Practitioner | 4260 Crossing Blvd, Prince George, VA 23875 | 2012-03-28 |
| 1245412717 | Prince George County Public Schools | Local Education Agency (LEA) | 6410 Courts Drive, Prince George, VA 23875 | 2007-11-27 |
| 1952330193 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 6459 Administration Dr., Prince George, VA 23875 | 2006-07-01 |
| 1598173155 | Divine Spine Chiropractic | Chiropractor | 4205 Crossings Blvd, Prince George, VA 23875 | 2014-07-28 |
| 1669632782 | Ashif K Jethava | Internal Medicine | 4720 Puddledock Rd, Suite 100b, Prince George, VA 23875 | 2008-06-12 |
| 1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
| 1033754874 | Jessica M Larche | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875-1235 | 2019-11-15 |
| Find all providers in zip 23875 | ||||
| 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 |
|---|---|---|---|---|
| 1316296866 | Justin Autry | Optometrist | 2015 Waterside Rd, Prince George, VA 23875-1265 | 2012-08-30 |
| 1639181472 | Kulsoom T. Murtaza | Optometrist | 2015 Waterside Rd, Prince George, VA 23875-1265 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710124 | Ryan Henger | Optometrist | 12551 Jefferson Ave Ste 249, Newport News, VA 23602-4487 | 2020-11-04 |
| 1457977050 | Carl Brandon Myers | Optometrist | 8125 Timberlake Rd, Lynchburg, VA 24502-2607 | 2020-06-19 |
| 1942826565 | Kendall Shafran | Optometrist | 44365 Premier Plz Ste 210, Ashburn, VA 20147-5058 | 2020-06-19 |
| 1033733258 | Emily Scannell | Optometrist | 1560 Mall Dr, Norfolk, VA 23511-3806 | 2020-06-03 |
| 1962024711 | Nova Optique and Eyecare | Optometrist | 672 N Glebe Rd, Arlington, VA 22203-2161 | 2020-05-15 |
| 1891323101 | Sharpvue Eyecare Pllc | Optometrist | 15243 Forest Rd Ste E, Forest, VA 24551-4974 | 2020-03-31 |
| 1871123943 | Lois Hermann Phillips | Optometrist | 9 Gamebird Ct, Manakin Sabot, VA 23103 | 2020-01-17 |
| 1356991830 | Finpax | Optometrist | 11847 Aspengraf Ln Ste A, New Kent, VA 23124-2130 | 2019-09-16 |
| 1629627559 | Seth Gorman | Optometrist | 4501 S Laburnum Ave Ste 145, Richmond, VA 23231-2483 | 2019-09-04 |
| 1679121800 | George Z Ishak | Optometrist | 1871 Carl D Silver Pkwy Ste 1113, Fredericksburg, VA 22401-4969 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE GEORGE |
| Zip Code | 23875 |
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| 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.