Active NPI
Dominion Eyecare PLLC
- Optometrist
- Virginia Beach, VA
National Provider Identifier
1295901874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Howard A Ossen, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009236465 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Dominion Eyecare PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Norfolk, VA
- NPI 1093762965
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Virginia Beach, VA
- NPI 1801891478
-
- Vision Therapy Optometrist
- Virginia Beach, VA
- NPI 1710017587
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.