DR. BEVERLY ANNE GOUGH O.D. NPI 1811063142

NPI Information

  • NPI: 1811063142
  • Provider Name: DR. BEVERLY ANNE GOUGH, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • Address: 1950 OLD GALLOWS RD
    SUITE 520
    VIENNA, VA
    ZIP 22182
  • Phone: (703) 847-8899

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NPI Details

DR. Beverly Anne Gough, O.D. is an optometrist in Vienna, VA. The provider is 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. DR. Beverly Anne Gough, O.D. NPI is 1811063142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1950 OLD GALLOWS RD
SUITE 520
VIENNA, VA
ZIP 22182-990
Phone: (703) 847-8899
Fax: (703) 991-0514

The enumeration date for this NPI number is 11/28/2006 and was last updated on 11/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristS-680 TA-388ALABAMANo
2152W00000XOptometrist1351NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18909311MEDICAIDNORTH CAROLINA
22467126HMEDICARE PINNORTH CAROLINA
32467126FMEDICARE PINNORTH CAROLINA
42467126BMEDICARE PINNORTH CAROLINA
500343OTHERALABAMABLUE CROSS BLUE SHIELD
6DE7256OTHERNORTH CAROLINARAILROAD MEDICARE GROUP
7T88022MEDICARE UPINALABAMA
8000046878MEDICARE ID-TYPE UNSPECIFIEDALABAMA
90139010020MEDICARE NSCNORTH CAROLINA
102467126DMEDICARE PINNORTH CAROLINA
112467126CMEDICARE PINNORTH CAROLINA
122467126EMEDICARE PINNORTH CAROLINA
1309311OTHERNORTH CAROLINABCBS OF NC
142467126GMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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