Individual provider Active NPI

Nathaniel A Cleaveland, D.O.

  • Ophthalmology Physician
  • Danville, VA
National Provider Identifier
1205122173
Registry record updated Oct 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0102204508 Issued in VA
Practice address
800 Memorial Dr
Danville, VA 24541-1679
Phone
(434) 799-3232
Fax
(434) 792-5125
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5101019254 MI
Ophthalmology Physician 207W00000X 2015-00459 NC
Ophthalmology Physician 207W00000X 0102204508 VA Primary

Addresses

Primary practice location

800 Memorial Dr
Danville, VA 24541-1679

Mailing address

800 Memorial Dr
Danville, VA 24541-1679
Phone (434) 799-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150727000661 NC Practitioner - Ophthalmology 9133362312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Eye Associates PLLCGroup PAC ID 9638154453, 7 clinicians

Practice addresses (Care Compare)

486 Hospital Dr
Clyde, NC 28721-8026
Phone (828) 452-5816

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery305

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Eye Associates, PLLC. Ophthalmology CurrentSince Jan 2, 2020 Accepting new patients
Mountain Eye Associates PLLC CurrentSince Jan 2, 2020 Accepting new patients

Locations

486 Hospital Dr
Clyde, NC 28721
Phone (828) 255-2586

137 Medical Park Loop
Sylva, NC 28779
Phone (828) 586-6262

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507939200000",
    "number": "1205122173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEMORIAL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411679",
            "telephone_number": "434-799-3232",
            "fax_number": "434-792-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEMORIAL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411679",
            "telephone_number": "434-799-3232",
            "fax_number": "434-792-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAVELAND",
        "first_name": "NATHANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2017-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101019254",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2015-00459",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0102204508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.