Organization Active NPI

Albemarle Eye Center, PLLC

  • Ophthalmology Physician
  • Chesapeake, VA
National Provider Identifier
1083232854
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALBEMARLE EYE CENTER, PLLC
Practice address
560 Kempsville Rd Ste 100
Chesapeake, VA 23320-3603
Phone
(252) 335-5446
NPI assigned
Jul 8, 2020
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBEMARLE EYE CENTER, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Michael Ames
Title
Cfo
Phone
(404) 964-8532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

560 Kempsville Rd Ste 100
Chesapeake, VA 23320-3603

Mailing address

1503 N Road St Ste 100
Elizabeth City, NC 27909-3243
Phone (252) 335-5446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200911001669 VA Part B Supplier - Clinic/Group Practice 4981696499 Receives reassigned benefits from 2 practitioners
Practice locations: Chesapeake, VA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Albemarle Eye Center PL

Locations

103 W Eden St
Edenton, NC 27932
Phone (252) 482-3218

111 Virginia Rd
Edenton, NC 27932
Phone (252) 482-3218

222 Virginia Rd
#D
Edenton, NC 27932
Phone (252) 482-5444

1503 N Road St
Ste 100
Elizabeth City, NC 27909

1503 N Road St
Elizabeth Cty, NC 27909
Phone 25233554462237

715 US Highway 64
Manteo, NC 27954
Phone (252) 473-2500

111 W Seachase Dr
Nags Head, NC 27959
Phone (252) 441-5911

560 Kempsville Rd
Chesapeake, VA 23320
Phone (757) 378-0906

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1083232854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N ROAD ST STE 100",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093243",
            "telephone_number": "252-335-5446",
            "fax_number": "252-335-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 KEMPSVILLE RD STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203603",
            "telephone_number": "252-335-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE EYE CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBEMARLE EYE CENTER, PLLC",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-964-8532"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.