DR. BEVERLY ANNE GOUGH O.D.
NPI 1811063142
Optometrist in Vienna, VA

Q: What is Beverly Gough's NPI number?

The NPI number for Beverly Gough is 1811063142. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Beverly Gough's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beverly Gough was last updated on November 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 28, 2006

1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182(703) 847-8899(703) 991-0514 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Beverly Anne Gough O.d. NPPES

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

DR. BEVERLY ANNE GOUGH O.D. (NPI 1811063142) is an individual optometrist in Vienna, Virginia, licensed in North Carolina (1351) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1811063142

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. BEVERLY ANNE GOUGHCredential: O.D.

Location Address1950 OLD GALLOWS RD, SUITE 520Vienna, VA 22182-3990

Mailing Address1950 Old Gallows Rd, Suite 520Vienna, VA 22182-3990 · (703) 847-8899 · Fax (703) 991-0514

Phone(703) 847-8899

Fax(703) 991-0514

Sole ProprietorNo

Enumeration DateNovember 28, 2006

Last NPPES UpdateNovember 5, 2014

✔ NPI 1811063142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NC · 1351✔ Licensed in AL · S-680 TA-388

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.

1950 OLD GALLOWS RD, Vienna, VA 22182

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Other Identifiers 14

Medicaid8909311NC

Medicare PIN2467126HNC

Medicare PIN2467126FNC

Medicare PIN2467126BNC

Other00343AL · Blue Cross Blue Shield

OtherDE7256NC · Railroad Medicare Group

Medicare UPINT88022AL

Medicare ID-Type Unspecified000046878AL

Medicare NSC0139010020NC

Medicare PIN2467126DNC

Medicare PIN2467126CNC

Medicare PIN2467126ENC

Other09311NC · Bcbs Of Nc

Medicare PIN2467126GNC

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES HENRY KINNEY O.D.

Optometrist

1950 OLD GALLOWS RD, SUITE 520
VIENNA, VA 22182

Fairfax County (703) 847-8899

DR. STEPHEN CAULEY O.D.

Optometrist

1950 OLD GALLOWS RD, 520
VIENNA, VA 22182

Fairfax County (703) 847-8899

COLUMBIA OPTOMETRY, LLC

Optometrist

1950 OLD GALLOWS RD, SUITE 520
VIENNA, VA 22182

Fairfax County (703) 847-8899

DR. ROGER 'TED' WATSON O.D.

Optometrist

1950 OLD GALLOWS RD, SUITE 520
VIENNA, VA 22182

Fairfax County (703) 847-8899

FLORIAN SAFNER

Optometrist

1950 OLD GALLOWS RD, STE 520
VIENNA, VA 22182

Fairfax County (703) 847-8899

SHILPA JAIN O.D

Optometrist

1950 OLD GALLOWS RD, SUITE 520
VIENNA, VA 22182

Fairfax County (703) 847-8899

ROSS JAY SHOTER OD

Optometrist

1950 OLD GALLOWS RD, #100
VIENNA, VA 22182

Fairfax County (703) 847-8899

EMERY WARD O.D.

Optometrist

1950 OLD GALLOWS RD, SUITE 520
VIENNA, VA 22182

Fairfax County (703) 847-8899

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 Beverly Gough's NPI number?

The NPI number for Beverly Gough is 1811063142. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Beverly Gough located?

Beverly Gough practices at 1950 Old Gallows Rd Suite 520, Vienna, VA 22182. The listed phone number is (703) 847-8899.

What is Beverly Gough's specialty?

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

When was this NPI record last updated?

The NPPES record for Beverly Gough was last updated on November 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.