FAMILY VISION CARE OF RICHMOND
NPI 1336361997
Optometrist in Glen Allen, VA

Active since May 03, 2007CLIA 49D2043857 · Waiver
4028 COX RD STE M, GLEN ALLEN, VA 23060(804) 217-9883(804) 217-9065 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Vision Care Of Richmond NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY VISION CARE OF RICHMOND (NPI 1336361997) is a healthcare organization registered as an optometrist in Glen Allen, Virginia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Tracy Poling, Secretary, as its authorized official.

NPPES Registry Identity

NPI1336361997
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFAMILY VISION CARE OF RICHMOND
Location Address4028 COX RD STE MGlen Allen, VA 23060-6702
Mailing Address4028 Cox Rd Ste MGlen Allen, VA 23060-6702
Fax(804) 217-9065
Organization SubpartNo
Authorized OfficialTracy PolingSecretary · (804) 217-9883
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336361997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
4028 COX RD STE M, Glen Allen, VA 23060

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Vision Care Of Richmond is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Family Vision Care Of Richmond, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Optometry
NPI 1275634586
4028 COX RD STE M
Glen Allen, VA 23060
(804) 217-9883
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1407296114
4114 INNSLAKE DR
Glen Allen, VA 23060
(804) 217-9883
✔ PECOS✔ Accepts Medicare0.4 mi
Optometry
NPI 1609123660
4114 INNSLAKE DR.
Glen Allen, VA 23060
(804) 217-9883
✔ PECOS✔ Accepts Medicare0.4 mi
Optometry
NPI 1174517726
4114 INNSLAKE DR
Glen Allen, VA 23060
(804) 217-9883
✔ PECOS✔ Accepts Medicare0.4 mi
Optometry
NPI 1851370985
4114 INNSLAKE DR
Glen Allen, VA 23060
(804) 217-9883
✔ PECOS✔ Accepts Medicare0.4 mi
Optometry
NPI 1932096526
4144 INNSLAKE DR
Glen Allen, VA 23060
(804) 217-9883
✔ PECOS✔ Accepts Medicare0.4 mi
Optometry
NPI 1003820051
301 N WASHINGTON HWY SUITE 102
Ashland, VA 23005
(804) 798-3306
✔ PECOS✔ Accepts Medicare10 mi
Optometry
NPI 1356373856
301 N WASHINGTON HWY SUITE 102
Ashland, VA 23005
(804) 798-3306
✔ PECOS✔ Accepts Medicare10 mi
Optometry
NPI 1841502994
8107 MIDLOTHIAN TPKE
Richmond, VA 23235
(804) 330-2588
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1902907397
4114 INNSLAKE DR
Glen Allen, VA 23060
(804) 217-9883
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2043857

Family Vision Care Of Richmond, PC · Glen Allen, VA
Active · expires Jul 10, 2028
CLIA Number49D2043857
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorDavid P. Leroux
Laboratory Phone(804) 217-9883
Laboratory LocationFamily Vision Care Of Richmond, PC4114 Innslake Drive, Glen Allen, VA 23060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Family Vision Care Of Richmond, PC carries, from the Medicare DMEPOS supplier directory.

Family Vision Care Of Richmond, PC

DMEPOS supplier · Glen Allen, VAOperated by Family Vision Care Of Richmond
✔

Accepts Medicare assignment

Family Vision Care Of Richmond, PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20660081
Medicare Participant SinceJanuary 1, 1998
Supplier Location4114 Innslake DrGlen Allen, VA 23060
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Vision Care Of Richmond's NPI number?

The NPI number for Family Vision Care Of Richmond is 1336361997. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Family Vision Care Of Richmond located?

Family Vision Care Of Richmond is located at 4028 Cox Rd Ste M, Glen Allen, VA 23060. The listed phone number is (804) 217-9883.

What is Family Vision Care Of Richmond's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Family Vision Care Of Richmond enrolled in Medicare?

Yes. Family Vision Care Of Richmond is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Vision Care Of Richmond?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Optometry, reassign their Medicare billing to Family Vision Care Of Richmond. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Vision Care Of Richmond accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Family Vision Care Of Richmond, PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Family Vision Care Of Richmond hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2043857) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Vision Care Of Richmond accept?

Health plans from BlueCross BlueShield of Tennessee list Family Vision Care Of Richmond as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Vision Care Of Richmond was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.