MRS. DEBORAH WITT CHURCH (NPI# 1306901772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306901772 |
Entity Type | Individual |
Full Name | MRS. DEBORAH WITT CHURCH |
Credential | OPTICIAN |
Practice Address |
240 Commonwealth Blvd W Martinsville VA 24112-1800 |
Mailing Address |
80 Witts Ln Bassett VA 24055-8013 |
Practice Telephone | 2766384461 |
Practice Fax Number | 2766381859 |
Mailing Telephone | 2766295588 |
Mailing Fax Number | 2766381859 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101001459 | VA | Eye and Vision Services Providers |
Street Address |
240 COMMONWEALTH BLVD W |
City | MARTINSVILLE |
State | VA |
Zip Code | 24112-1800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922008952 | Michael Edward Ford | Optometrist | 240 Commonwealth Blvd W, Martinsville, VA 24112-1800 | 2005-08-01 |
1255971776 | Lisa Marie Graves | Pharmacist | 240 Commonwealth Blvd W, Martinsville, VA 24112-1800 | 2020-01-13 |
1700810579 | Kroger Limited Partnership I | Pharmacy | 240 Commonwealth Blvd W, Martinsville, VA 24112-1800 | 2006-07-10 |
1679534051 | Robert Edward Hobbs Jr. | Pharmacist | 240 Commonwealth Blvd W, Martinsville, VA 24112-1800 | 2006-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
Find all providers in zip 24112 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437462843 | Martinsville Optical Co., Inc. | Technician/Technologist | 749 B. East Church Street, Martinsville, VA 24115 | 2010-07-15 |
1194861328 | Robert W Long | Technician/Technologist | 240 Commonwealth Blvd W Ste 108, Martinsville, VA 24112-1841 | 2007-01-29 |
1851474571 | Wal-mart Stores East, Lp | Technician/Technologist | 410 Grand Valley Blvd, Martinsville, IN 46151-6123 | 2006-10-24 |
1063502177 | Wal-mart Stores East, Lp | Technician/Technologist | 976 Commonwealth Blvd, Martinsville, VA 24112-1887 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972117372 | Martin A Shahmirzadi | Technician/Technologist | 1934 Old Gallows Rd Ste 350b, Vienna, VA 22182-4042 | 2020-09-02 |
1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
1316421449 | National Vision Inc | Technician/Technologist | 545a Hilltop Plz, Virginia Beach, VA 23454-4501 | 2018-09-25 |
1215417001 | Takenya Norfus | Technician/Technologist | 3031 Kempton Park Rd, Suffolk, VA 23435-2552 | 2018-08-21 |
1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
1780190900 | Rosalind Bond Alexander | Technician/Technologist | 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 | 2017-12-26 |
1225543275 | Rachel Naomi Melendrez | Technician/Technologist | 125 Mill St Ste 12, Occoquan, VA 22125-7732 | 2017-12-12 |
1548774425 | Dean Diffenbaugh | Technician/Technologist | 137 Spotsylvania Mall Ste 440a, Fredericksburg, VA 22407-1126 | 2017-11-29 |
1447761408 | David Morris Lambert | Technician/Technologist | 904 N 1st St Ste 100, Richmond, VA 23219-1000 | 2017-10-17 |
1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
Find all providers with the same taxonomy |
City | MARTINSVILLE |
Zip Code | 24112 |
Please comment or provide details below to improve the information on MRS. DEBORAH WITT CHURCH.
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.