Eastern Virginia Eye Institute

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

EASTERN VIRGINIA EYE INSTITUTE

Practice address

2147 Old Greenbrier Rd
Chesapeake, VA 23320-2635

Phone

(757) 354-2258

NPI assigned

Aug 15, 2013

Last updated

Aug 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandeep S Samudre, PHD, MPH

Title

President and Ceo

Phone

(757) 354-2258

Specialties & licenses 1

Addresses

Other names 1

• Lions Eye Institute of Virginia Former legal business name

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1063845816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 OLD GREENBRIER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 OLD GREENBRIER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202635",
            "telephone_number": "757-354-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN VIRGINIA EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "SAMUDRE",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "757-354-2258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MPH"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lions Eye Institute of Virginia",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Special Hospital in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Special Hospital in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.