Individual provider Active NPI

Lindsey Michelle Vernillo, O.D.

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1356789804
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002242 Issued in VA
Practice address
160 Mount Pleasant Rd
Chesapeake, VA 23322-4152
Phone
(757) 482-4022
Fax
(757) 482-9065
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002242 VA Primary

Addresses

Primary practice location

160 Mount Pleasant Rd
Chesapeake, VA 23322-4152

Mailing address

160 Mount Pleasant Rd
Chesapeake, VA 23322-4152
Phone (757) 482-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000876 VA Practitioner - Optometry 6901046887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lindsey M Vernillo OD PCGroup PAC ID 9830508365, 3 clinicians

Practice addresses (Care Compare)

160 Mount Pleasant Rd
Chesapeake, VA 23322-4152
Phone (757) 482-4022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002242VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsey M Vernillo OD PC Optometrist CurrentSince Apr 8, 2021 Accepting new patients

Locations

160 Mount Pleasant Rd
Chesapeake, VA 23322
Phone (757) 482-4022

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1356789804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MOUNT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224152",
            "telephone_number": "757-482-4022",
            "fax_number": "757-482-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MOUNT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224152",
            "telephone_number": "757-482-4022",
            "fax_number": "757-482-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNILLO",
        "first_name": "LINDSEY",
        "middle_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.