Organization Active NPI

Shalane Perlowsky OD PC

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1154673622
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002184 Issued in VA
Legal business name
SHALANE PERLOWSKY OD PC
Practice address
3345 Virginia Beach Blvd
Virginia Beach, VA 23452-5616
Phone
(757) 463-1508
Fax
(757) 463-1864
NPI assigned
Oct 9, 2012
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Shalane Perlowsky, O.D.NPI 1073862108
Title
Optometrist
Phone
(757) 463-1508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002184 VA Primary

Addresses

Primary practice location

3345 Virginia Beach Blvd
Virginia Beach, VA 23452-5616

Mailing address

3345 Virginia Beach Blvd
Virginia Beach, VA 23452-5616
Phone (757) 463-1508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121105000363 VA Part B Supplier - Clinic/Group Practice 9830340603 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1154673622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525616",
            "telephone_number": "757-463-1508",
            "fax_number": "757-463-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525616",
            "telephone_number": "757-463-1508",
            "fax_number": "757-463-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALANE PERLOWSKY OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "PERLOWSKY",
        "authorized_official_first_name": "SHALANE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "757-463-1508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.