Active NPI
Beach Eye Care, Inc.
- Optometrist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BEACH EYE CARE, INC.
- Practice address
- 1201 First Colonial Rd
Virginia Beach, VA 23454-2217 - Phone
- (757) 425-5550
- Fax
- (757) 412-2606
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vivek Jain, MD
- Title
- President
- Phone
- (757) 425-5550
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1201 First Colonial Rd
Virginia Beach, VA 23454-2217
Mailing address
1201 First Colonial Rd
Virginia Beach, VA 23454-2217
Phone (757) 425-5550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0618002731 | Other | VA | STATE LICENSE |
| 89015YK | Other | NC MEDICAID | |
| CL3147 | Other | VA | MEDICARE RAILROAD |
| 010147859 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2046402 | Beach Eye Care | Certificate of waiver | Sep 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
1501 Cedar Rd
Unit 113
Chesapeake, VA 23322
Phone (757) 425-5550
325 Volvo Pkwy
Ste 120
Chesapeake, VA 23320
1501 Cedar Rd
Chesapeake, VA 23322
4388 Holland Rd
Virginia Beach, VA 23452
Phone (757) 425-5550
5386 Kempsriver Dr
Ste 101
Virginia Beach, VA 23464
Phone (757) 420-2001
4388 Holland Rd
Ste 140
Virginia Beach, VA 23452
Phone (757) 425-5550
2173 Upton Dr
Ste 601
Virginia Beach, VA 23454
Phone (757) 351-2020
5386 Kempsriver Dr
Virginia Beach, VA 23464
1201 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 425-5550
2173 Upton Dr
Virginia Beach, VA 23454
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Virginia Beach, VA
- NPI 1487649687
-
- Ophthalmology Physician
- Virginia Beach, VA
- NPI 1881128460
Multi-Specialty
-
- Ophthalmology Physician
- Virginia Beach, VA
- NPI 1235292913
-
- Optometrist
- Virginia Beach, VA
- NPI 1053892943
-
- Ophthalmology Physician
- Virginia Beach, VA
- NPI 1952981375
-
- Glaucoma Specialist (Ophthalmology) Physician
- Virginia Beach, VA
- NPI 1104438324
-
- Optometrist
- Chesapeake, VA
- NPI 1275846503
-
- Ophthalmology Physician
- Portsmouth, VA
- NPI 1679537674
-
- Ophthalmology Physician
- Virginia Beach, VA
- NPI 1669466181
-
- Optometrist
- Virginia Beach, VA
- NPI 1013179027
-
- Optometrist
- Virginia Beach, VA
- NPI 1154858397
-
- Optometrist
- Virginia Beach, VA
- NPI 1033733258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1013902873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 FIRST COLONIAL RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542217",
"telephone_number": "757-425-5550",
"fax_number": "757-412-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 FIRST COLONIAL RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542217",
"telephone_number": "757-425-5550",
"fax_number": "757-412-2606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACH EYE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "VIVEK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-425-5550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0618002731",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAID",
"identifier": "89015YK",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CL3147",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010147859",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.