Organization Active NPI

Dominion Eye Care PLLC

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1093762965
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOMINION EYE CARE PLLC
Practice address
125 Janaf Shopping Ctr
Norfolk, VA 23502-2501
Phone
(757) 461-3101
Fax
(757) 461-6942
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Kurt K Devito, OD
Title
Treasurer Optometrist
Phone
(757) 461-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VA Primary

Addresses

Primary practice location

125 Janaf Shopping Ctr
Norfolk, VA 23502-2501

Mailing address

125 Janaf Shopping Ctr
Norfolk, VA 23502-2501
Phone (757) 461-3101

National Provider Directory

National Provider Directory
Tax ID family
Dominion Eyecare PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 Janaf Shopping Ctr
Norfolk, VA 23502
Phone (757) 461-3101

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1093762965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JANAF SHOPPING CTR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022501",
            "telephone_number": "757-461-3101",
            "fax_number": "757-461-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JANAF SHOPPING CTR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022501",
            "telephone_number": "757-461-3101",
            "fax_number": "757-461-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "DEVITO",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "TREASURER OPTOMETRIST",
        "authorized_official_telephone_number": "757-461-3101",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.