Organization Active NPI

Dr. James Komornik LLC

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1003385600
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. JAMES KOMORNIK LLC
Practice address
4035 E Ocean View Ave Ste 200
Norfolk, VA 23518-1612
Phone
(757) 644-7234
Fax
(757) 296-0839
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Ronald Komornik, ODNPI 1366971574
Title
Owning Member
Phone
(757) 644-7234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4035 E Ocean View Ave Ste 200
Norfolk, VA 23518-1612

Mailing address

4035 E Ocean View Ave Ste 200
Norfolk, VA 23518-1612
Phone (757) 644-7234

Other names 1

  • Sea Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190326003111 VA Part B Supplier - Clinic/Group Practice 5991045106 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2259575Sea Eye Care4035 E Ocean View Ave, Suite 200, Norfolk, VA 23518Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory

Locations

9573 Shore Dr
Ste E
Norfolk, VA 23518
Phone (757) 355-5553

4035 E Ocean View Ave
Ste 200
Norfolk, VA 23518
Phone (757) 355-5553

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1003385600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 E OCEAN VIEW AVE STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181612",
            "telephone_number": "757-644-7234",
            "fax_number": "757-296-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 E OCEAN VIEW AVE STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181612",
            "telephone_number": "757-644-7234",
            "fax_number": "757-296-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES KOMORNIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "KOMORNIK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNING MEMBER",
        "authorized_official_telephone_number": "757-644-7234",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sea Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.