Individual provider Active NPI

Mary Alison Mercer, OD

  • Optometrist
  • Portsmouth, VA
National Provider Identifier
1093725830
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001325 Issued in VA
Practice address
3235 Academy Ave
Suite 200
Portsmouth, VA 23703-3200
Phone
(757) 483-0400
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001325 VA Primary

Addresses

Primary practice location

3235 Academy Ave
Suite 200
Portsmouth, VA 23703-3200

Mailing address

3235 Academy Ave
Ste 200
Portsmouth, VA 23703-3200
Phone (757) 410-3435

Other identifiers 2

IdentifierTypeStateIssuer
180066OtherVAANTHEM
10170664MedicaidVA

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
I20050719000350 VA Practitioner - Optometry 9739116021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Eye Consultants IncGroup PAC ID 6608860978, 57 clinicians

Practice addresses (Care Compare)

3235 Academy Ave
Suite 200
Portsmouth, VA 23703-3200
Phone (757) 483-0400

Merit-based Incentive Payment System (MIPS)

Final score
81.39 of 100Reported as group
Quality
77.12
Promoting interoperability
100
Improvement activities
40
Cost
60.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001325VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eye Consultants Inc Optometrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

805 Battlefield Blvd N
Ste 111
Chesapeake, VA 23320
Phone (757) 844-6529

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

3235 Academy Ave
Portsmouth, VA 23703
Phone (804) 393-6582

3235 Academy Ave
Ste 200
Portsmouth, VA 23703
Phone (757) 397-7858

1788 Republic Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 422-2966

Interoperability endpoints

  • Direct secure messaging: alison.mercerod.p1@direct.vec.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1093725830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "STE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-410-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-483-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "MARY ALISON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "180066",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10170664",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.