NPIMap

Organization Active NPI

Medical & Surgical Eye Specialists Inc

  • Ophthalmology Physician
  • Chesapeake, VA
National Provider Identifier
1184719353
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101032511 Issued in VA
Legal business name
MEDICAL & SURGICAL EYE SPECIALISTS INC
Practice address
200 Medical Pkwy
Suite 209
Chesapeake, VA 23320-4911
Phone
(757) 547-9751
Fax
(757) 547-1876
NPI assigned
Oct 4, 2006
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Eric A Adams, MDNPI 1164417077
Title
Vice President
Phone
(757) 461-7974

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001488 VA
Ophthalmology Physician 207W00000X 0101032511 VA Primary
Ophthalmology Physician 207W00000X 0101052280 VA

Addresses

Primary practice location

200 Medical Pkwy
Suite 209
Chesapeake, VA 23320-4911

Mailing address

6315 North Center Dr
BLDG 20 Suite 230
Norfolk, VA 23502-3931
Phone (757) 461-7974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050822001102 VA Part B Supplier - Clinic/Group Practice 0547291379 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chesapeake, VA; Norfolk, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Med Surg Eye Surg Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

200 Medical Pkwy
Chesapeake, VA 23320

880 Kempsville Rd
Ste 1300
Norfolk, VA 23502
Phone (804) 625-4567

Practitioners & affiliated clinicians

Practitioners 3

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1184719353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 NORTH CENTER DR",
            "address_2": "BLDG 20 SUITE 230",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023931",
            "telephone_number": "757-461-7974",
            "fax_number": "757-461-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY",
            "address_2": "SUITE 209",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204911",
            "telephone_number": "757-547-9751",
            "fax_number": "757-547-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & SURGICAL EYE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-461-7974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001488",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101032511",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101052280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.