Symeon, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SYMEON, LLC

Practice address

9671 28TH Bay St
Norfolk, VA 23518-1910

Phone

(561) 275-2020

Fax

(561) 828-8367

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Garza

Title

Managed Care Manager

Phone

(561) 275-2020

Specialties & licenses 2

Addresses

Other names 1

• My EyeLab Doing business as

Tax ID family

My Eyelab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Symeon, LLC

  • Eyewear Supplier
  • Newport News, VA
  • NPI 1912601345
  NPD tax ID

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1194429381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 28TH BAY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181910",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 28TH BAY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181910",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMEON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGED CARE MANAGER",
        "authorized_official_telephone_number": "561-275-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn R Swimmer, MD
• Meredith Swisher, DDS
• Alexia L Swope, RDH
• Wahab Ali Syed, MD
• Melissa Mary Sykes, LPC, CSAC, ATR
• Vladislava Olegovna Synenko, FNP-BC
• Synergy Health Services
• Steven Sytsma, PHARMD
• Heather Marie Szeles, DNP
• T.O.K Enterprise, LLC

• Optometrist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.