Individual provider Active NPI

Fredric Jay Gross, M.D.

  • Ophthalmology Physician
  • Chesapeake, VA
National Provider Identifier
1184629271
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101046621 Issued in VA
Practice address
109 Wimbledon SQ
Ste E
Chesapeake, VA 23320-4945
Phone
(757) 547-9830
Fax
(757) 548-0721
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101046621 VA Primary

Addresses

Primary practice location

109 Wimbledon SQ
Ste E
Chesapeake, VA 23320-4945

Mailing address

PO Box 45923
Baltimore, MD 21297-5923
Phone (877) 969-0392

Other practice location 1

2385 Colony Crossing Pl
Midlothian, VA 23112-4280
Phone (804) 739-2220

Other practice location 2

4917 Richmond Tappahannock Hwy Ste 1A
Aylett, VA 23009-3416
Phone (804) 769-4362

Other practice location 3

611 Della St
Tappahannock, VA 22560-2270
Phone (804) 443-3901

Other practice location 4

6161 Kempsville Cir Ste 130
Norfolk, VA 23502-3932
Phone (757) 455-5130

Other practice location 5

1613 Hardy Cash Dr
Hampton, VA 23666-2414
Phone (757) 229-4000

Other practice location 6

315 Furr St
South Hill, VA 23970-9500
Phone (804) 285-0680

Other practice location 7

7347 Bell Creek Rd Ste 200
Mechanicsville, VA 23111-3504
Phone (804) 746-5245

Other practice location 8

2801 Boulevard Ste C
Colonial Heights, VA 23834-2323
Phone (804) 285-0680

Other practice location 9

5215 Monticello Ave Ste A
Williamsburg, VA 23188-8232
Phone (757) 229-4000

Other practice location 10

2010 Bremo Rd Ste 128
Richmond, VA 23226-2444
Phone (804) 285-0680

Other identifiers 6

IdentifierTypeStateIssuer
058244OtherVAANTHEM BC/BS
15510OtherVAOPTIMA
180016154OtherVARR MEDIACRE
6306616MedicaidVA
0800124OtherVAUNITED HEALTH CARE
890512XOtherNCNC MEDICAID

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
I20100813000097 VA Practitioner - Ophthalmology 7911050349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Harman MD LLCGroup PAC ID 6305828062, 51 clinicians

Practice addresses (Care Compare)

6161 Kempsville Cir
Suite 130
Norfolk, VA 23502-3932
Phone (757) 455-5130

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
90.46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101046621VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David M Harman MD LLC Ophthalmology CurrentSince Feb 1, 2021 Accepting new patients
Hanover Family Eyecare PastSince Jun 30, 2012 Accepting new patients
Chesterfield Ophthalmology PC Ophthalmology PastSince Oct 1, 2002 Accepting new patients
William G. Ryan, O.D., LTD. Past Accepting new patients
Dominion Eye Associates PC PastSince Jan 26, 2007 Accepting new patients

Locations

4917 Richmond Tappahannock Hwy
Ste 1A
Aylett, VA 23009
Phone (804) 746-5245

109 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 455-5130

2801 Boulevard
Ste C
Colonial Hgts, VA 23834
Phone (804) 285-0680

1825 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-5650

1613 Hardy Cash Dr
Hampton, VA 23666
Phone (757) 229-4000

7347 Bell Creek Rd
Ste 200
Mechanicsvlle, VA 23111
Phone (804) 746-5245

2385 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 739-2220

6161 Kempsville Cir
Ste 130
Norfolk, VA 23502
Phone (757) 455-5130

2010 Bremo Rd
Ste 128
Richmond, VA 23226
Phone (804) 285-0680

315 Furr St
South Hill, VA 23970
Phone (434) 447-2578

402 Airport Rd
Tappahannock, VA 22560
Phone (804) 443-5388

5215 Monticello Ave
Ste A
Williamsburg, VA 23188
Phone (757) 229-1440

Organizations & group practices 5

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1184629271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45923",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975923",
            "telephone_number": "877-969-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WIMBLEDON SQ",
            "address_2": "STE E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204945",
            "telephone_number": "757-547-9830",
            "fax_number": "757-548-0721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2385 Colony Crossing Pl",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231124280",
            "country_code": "US",
            "telephone_number": "804-739-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4917 Richmond Tappahannock Hwy Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Aylett",
            "state": "VA",
            "postal_code": "230093416",
            "country_code": "US",
            "telephone_number": "804-769-4362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Della St",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225602270",
            "country_code": "US",
            "telephone_number": "804-443-3901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 Kempsville Cir Ste 130",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023932",
            "country_code": "US",
            "telephone_number": "757-455-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 Hardy Cash Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662414",
            "country_code": "US",
            "telephone_number": "757-229-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Furr St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239709500",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7347 Bell Creek Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231113504",
            "country_code": "US",
            "telephone_number": "804-746-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Boulevard Ste C",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342323",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 Monticello Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888232",
            "country_code": "US",
            "telephone_number": "757-229-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Bremo Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262444",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "FREDRIC",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101046621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "058244",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "15510",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDIACRE",
            "identifier": "180016154",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6306616",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0800124",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "890512X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.