Individual provider Active NPI

Elleny Gutierrez, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Virginia Beach, VA
National Provider Identifier
1104438324
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
0101285336 Issued in VA
Practice address
1201 First Colonial Rd
Virginia Beach, VA 23454-2217
Phone
(757) 425-5550
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 83754-20 WI
Student in an Organized Health Care Education/Training Program 390200000X 322663 LA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0101285336 VA Primary

Addresses

Primary practice location

1201 First Colonial Rd
Virginia Beach, VA 23454-2217

Mailing address

1201 First Colonial Rd
Virginia Beach, VA 23454-2217
Phone (757) 425-5550

Other practice location 1

4388 Holland Rd Ste 140
Virginia Beach, VA 23452-1389
Phone (757) 425-5550

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429003010 VA Practitioner - Ophthalmology 1951843655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Eye Care IncGroup PAC ID 8921064460, 14 clinicians

Practice addresses (Care Compare)

1201 1St Colonial Rd
Virginia Beach, VA 23454-2217
Phone (757) 425-5550

Hospital & facility affiliations

  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101285336VAMDGlaucoma Specialist (Ophthalmology) Physician
322663LAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Eye Care, Inc. CurrentSince Mar 19, 2025 Accepting new patients

Locations

325 Volvo Pkwy
Ste 120
Chesapeake, VA 23320

1501 Cedar Rd
Unit 113
Chesapeake, VA 23322
Phone (757) 425-5550

1201 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 425-5550

4388 Holland Rd
Ste 140
Virginia Beach, VA 23452
Phone (757) 425-5550

5386 Kempsriver Dr
Ste 101
Virginia Beach, VA 23464
Phone (757) 420-2001

4388 Holland Rd
Virginia Beach, VA 23452
Phone (757) 425-5550

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1104438324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542217",
            "telephone_number": "757-425-5550",
            "fax_number": "757-412-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542217",
            "telephone_number": "757-425-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4388 Holland Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521389",
            "country_code": "US",
            "telephone_number": "757-425-5550",
            "fax_number": "757-321-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ELLENY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "83754-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "322663",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "VA",
            "license": "0101285336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.