TEDD R PUCKETT (NPI# 1215007315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215007315 |
| Entity Type | Individual |
| Full Name | TEDD R PUCKETT |
| Credential | MD |
| Practice Address |
106 S Franklin St Ste C Christiansburg VA 24073-3547 |
| Practice Telephone | 5403812013 |
| Mailing Telephone | 5403812013 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101058838 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006303200 | 05 | |
| VA | ANTHEM (BLUE CROSS) | 452768 | 01 |
| VT | ANTHEM (BLUE CROSS) | 258585 | 01 |
| VA | 006303293 | 05 | |
| VA | UNITED HEALTHCARE | 0800644 | 01 |
| VA | AETNA | 5978709 | 01 |
| VA | GIGNA | 0193226 | 01 |
| Street Address |
106 S FRANKLIN ST STE C |
| City | CHRISTIANSBURG |
| State | VA |
| Zip Code | 24073-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1891318044 | Anderson Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 290 Cheverly Road, Christiansburg, VA 24073 | 2020-05-22 |
| 1972012235 | Valerie Glass | Marriage & Family Therapist | 250 Willow Oak Dr, Christiansburg, VA 24073 | 2017-09-29 |
| 1841680311 | New River Assisted Living LLC | Assisted Living Facility | 105 Arbor Drive, Suite 400, Christiansburg, VA 24073 | 2015-02-04 |
| 1770971764 | Jesse Cornwell | Hearing Instrument Specialist | 3225 N Franklin St Ste 2, Christiansburg, VA 24073 | 2014-12-30 |
| 1811323702 | Valerie Lauck | Pharmacist | 192 Conston Avenue, Christiansburg, VA 24073 | 2013-09-24 |
| 1326322819 | National Counseling Group, Inc | Counselor | 90 College Street, Suite C, Christiansburg, VA 24073 | 2011-10-04 |
| 1669796561 | Mary Catherine Carter | Internal Medicine | 2900 Lamb Cir Ste 7-700b, Christiansburg, VA 24073 | 2010-03-22 |
| 1467774992 | Roger Dean Owen | Pharmacist | 1000 Laurel St Ne, Kmart 4850, Christinsburg, VA 24073 | 2010-02-25 |
| 1891989729 | Eva Hudlicka | Social Worker | 2955 Market Street, Suite 7, Christiansburg, VA 24073 | 2007-09-04 |
| Find all providers in zip 24073 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124198122 | Nrv Eye Center, Inc | Ophthalmology | 106 S Franklin St, Ste C, Christiansburg, VA 24073-3547 | 2006-11-08 |
| 1922176510 | John Stephen Hudgins | Ophthalmology | 10 Hickok Street, Suite 201, Christiansburg, VA 24073 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232854 | Albemarle Eye Center, Pllc | Ophthalmology | 560 Kempsville Rd Ste 100, Chesapeake, VA 23320-3603 | 2020-07-08 |
| 1679190334 | Virginia Vision & Surgery, Pllc | Ophthalmology | 4917 Richmond Tappahannock Hwy Ste 1a, Aylett, VA 23009-3416 | 2020-06-29 |
| 1841833480 | Paragon Retina Pllc | Ophthalmology | 8320 Old Courthouse Rd Ste 302, Vienna, VA 22182-3831 | 2019-10-28 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1821650615 | Rebecca Leigh Zaydel | Ophthalmology | 2051 Sun Harbour Ave Ste 110, Suffolk, VA 23435-3843 | 2019-07-02 |
| 1518427368 | Capital Eye Care LLC | Ophthalmology | 3289 Woodburn Rd Ste 270, Annandale, VA 22003-7351 | 2019-03-20 |
| 1194224246 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 1635 N George Mason Dr Ste 100, Arlington, VA 22205-3604 | 2018-02-05 |
| 1548770035 | Cataract Vision Institute Virginia LLC | Ophthalmology | 8614 Westwood Center Dr Ste 650, Vienna, VA 22182-2257 | 2017-10-10 |
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1043674013 | Robert Lawrence Kost | Ophthalmology | 850 Enterprise Pkwy Ste 1200, Hampton, VA 23666-6251 | 2016-04-06 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTIANSBURG |
| Zip Code | 24073 |
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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.