Individual provider Active NPI

John Christopher Dragon, O.D.

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1083701544
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000040 Issued in VA
Practice address
7525 Tidewater Dr
Suite 41
Norfolk, VA 23505-3700
Phone
(757) 588-5423
Fax
(757) 588-6012
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000040 VA Primary

Addresses

Primary practice location

7525 Tidewater Dr
Suite 41
Norfolk, VA 23505-3700

Mailing address

7525 Tidewater Dr
Suite 41
Norfolk, VA 23505-3700
Phone (757) 588-5423

Other identifiers 1

IdentifierTypeStateIssuer
9234462MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000448 VA Practitioner - Optometry 2062585383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr John C Dragon OD and AssociatesGroup PAC ID 6103999677, 3 clinicians

Practice addresses (Care Compare)

7525 Tidewater Dr
Suite 41
Norfolk, VA 23505-3700
Phone (757) 588-5423

Merit-based Incentive Payment System (MIPS)

Final score
77.78 of 100Reported as individual
Quality
55.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr John C Dragon OD & Associates Optometrist CurrentSince Jan 2, 2003 Accepting new patients

Locations

7525 Tidewater Dr
Ste 41
Norfolk, VA 23505
Phone (757) 588-5423

7525 Tidewater Dr
Norfolk, VA 23505

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1083701544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 TIDEWATER DR",
            "address_2": "SUITE 41",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053700",
            "telephone_number": "757-588-5423",
            "fax_number": "757-588-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 TIDEWATER DR",
            "address_2": "SUITE 41",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053700",
            "telephone_number": "757-588-5423",
            "fax_number": "757-588-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGON",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9234462",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.