Thomas R. Cheezum, O.D., LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000025 Issued in VA

Legal business name

THOMAS R. CHEEZUM, O.D., LTD

Practice address

801 Volvo Pkwy
Suite 133
Chesapeake, VA 23320-2800

Phone

(757) 549-2225

Fax

(757) 549-0380

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Raymond Cheezum, ODNPI 1932191327

Title

Owner

Phone

(757) 549-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Thomas R. Cheezum, O.D.

  • Optometrist
  • Norfolk, VA
  • NPI 1932191327
  Medicare reassignment NPD Authorized official
• James Andrew Miller, O.D.

  • Optometrist
  • Chesapeake, VA
  • NPI 1750378204
  Medicare reassignment NPD

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1023201092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "SUITE 133",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202800",
            "telephone_number": "757-549-2225",
            "fax_number": "757-549-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "SUITE 133",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202800",
            "telephone_number": "757-549-2225",
            "fax_number": "757-549-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. CHEEZUM, O.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "CHEEZUM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-549-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Candice Renee Thomas

• Optometrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.