Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811063142 Individual Practitioner Female Practitioner

Dr. Beverly Anne Gough , OD

Optometrist • Vienna, VA

Professional Overview & Biography Verified Profile Summary

Dr. Beverly Gough, OD is a registered healthcare professional specializing in Optometrist in Vienna, VA. Practice services are available at 1950 OLD GALLOWS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1950 Old Gallows Rd
Suite 520

Vienna, VA 221823990

Telephone 7038478899
Fax 7039910514
Associated Practice Facility / Clinic
🏢 Columbia Optometry, Llc Facility NPI 1124305388

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Vienna, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Vienna, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NC 1351

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License AL S-680 TA-388

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8909311 (NC)
Commercial Insurance / Payer ID Bcbs Of Nc
09311 (NC)
Commercial Insurance / Payer ID Railroad Medicare Group
DE7256 (NC)
Commercial Insurance / Payer ID Blue Cross Blue Shield
00343 (AL)

Practice Associates & Co-Workers

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

22 Associated Practitioners
NPI 1013957745

Doctor of Optometry

NPI 1053908244

Doctor of Optometry

NPI 1104038025

Doctor of Optometry

NPI 1124004338

Doctor of Optometry

NPI 1184667834

Doctor of Optometry

NPI 1184938672

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2014

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

📍
Updated Business Mailing Address November 05, 2014

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

👤
Provider Name / Credentials Updated November 05, 2014

Recorded as BEVERLY GOUGH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2014

Optometrist (License #1351 in NC)

🟢
Initial NPI Registration & Enumeration November 28, 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: 1811063142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2006
Last Update: November 05, 2014
Sole Proprietor: No

Mailing Address

1950 Old Gallows Rd, Suite 520

Vienna, VA 221823990

Phone: 7038478899

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.