Organization Active NPI

Christopher C Fusco OD Inc

  • Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1194033126
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0618000205 Issued in VA
Legal business name
CHRISTOPHER C FUSCO OD INC
Practice address
812 Eden Way N
Chesapeake, VA 23320-0602
Phone
(757) 424-4177
Fax
(757) 424-0496
NPI assigned
Sep 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dr. Christopher Charles Fusco, OD
Title
Owner/President
Phone
(757) 424-4177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000205 VA
Clinic/Center 261Q00000X 0618000205 VA Primary

Addresses

Primary practice location

812 Eden Way N
Chesapeake, VA 23320-0602

Mailing address

812 Eden Way N
Chesapeake, VA 23320-0602
Phone (757) 424-4177

National Provider Directory

National Provider Directory

Locations

812 Eden Way N
Chesapeake, VA 23320
Phone (757) 424-4177

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1194033126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 EDEN WAY N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200602",
            "telephone_number": "757-424-4177",
            "fax_number": "757-424-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 EDEN WAY N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200602",
            "telephone_number": "757-424-4177",
            "fax_number": "757-424-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER C FUSCO OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "FUSCO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "757-424-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000205",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0618000205",
            "primary": true
        }
    ],
    "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 Nov 3, 2010; 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.