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Deactivated NPI 1164585121 Deactivated / Inactive NPI Male Practitioner

Dr. Al N Angle , OD

Optometrist • Rocky Mount, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Al Angle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2006
NPI Deactivation Date April 19, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Al Angle, OD was a registered Optometrist practicing in Rocky Mount, VA. Throughout an active medical career spanning 13 years, Dr. Angle provided care at the practice location at 395 S MAIN ST until profile deactivation on 2019-04-19.

Historical Medicare Part B clinical services included established patient complete exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

395 S Main St

Rocky Mount, VA 241511710

Telephone 5404830284
Fax 5404839680
Associated Practice Facility / Clinic
🏢 Dr Al N Angle Ii & Associates Facility NPI 1952464315

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Rocky Mount, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Rocky Mount, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
79 79 $88.25 $86.86
92004 New patient complete exam of visual system
35 35 $108.00 $105.96

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618000207

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1255743613

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 19, 2019

Record deactivated on April 19, 2019

NPI Profile Active August 10, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2010

Registered at 395 S MAIN ST, ROCKY MOUNT, VA 241511710 (Tel: 5404830284)

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Updated Business Mailing Address August 10, 2010

Registered at 395 SOUTH MAIN ST, ROCKY MOUNT, VA 241511710 (Tel: 5404830284)

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Provider Name / Credentials Updated August 10, 2010

Recorded as AL ANGLE, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2010

Optometrist (License #0618000207 in VA)

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Initial NPI Registration & Enumeration December 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164585121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: August 10, 2010
Deactivation Date: April 19, 2019

Mailing Address

395 South Main St

Rocky Mount, VA 241511710

Phone: 5404830284

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.