Organization Active NPI

Dominion Eyecare PLLC

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1295901874
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000100 Issued in VA
Legal business name
DOMINION EYECARE PLLC
Practice address
6113 Indian River Rd
Virginia Beach, VA 23464-3503
Phone
(757) 420-2053
Fax
(757) 424-9503
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Howard A Ossen, ODNPI 1801891478
Title
President
Phone
(757) 420-2053

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000100 VA Primary

Addresses

Primary practice location

6113 Indian River Rd
Virginia Beach, VA 23464-3503

Mailing address

6113 Indian River Rd
Virginia Beach, VA 23464-3503
Phone (757) 420-2053

Other identifiers 1

IdentifierTypeStateIssuer
009236465MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Dominion Eyecare PLLC2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1295901874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 INDIAN RIVER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643503",
            "telephone_number": "757-420-2053",
            "fax_number": "757-424-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 INDIAN RIVER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643503",
            "telephone_number": "757-420-2053",
            "fax_number": "757-424-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "OSSEN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-420-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009236465",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.