Active NPI
Tessah Kanter, OD
- Optometrist
- Hampton, VA
National Provider Identifier
1366928046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002659
- Practice address
- 115 Coliseum Xing
Hampton, VA 23666-5971 - Phone
- (757) 751-6236
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002659 | VA | Primary |
Addresses
Primary practice location
115 Coliseum Xing
Hampton, VA 23666-5971
Mailing address
41 Dryden Dr
Poquoson, VA 23662-1454
Phone (757) 848-3581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002659 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1366928046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 DRYDEN DR",
"city": "POQUOSON",
"state": "VA",
"postal_code": "236621454",
"telephone_number": "757-848-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 COLISEUM XING",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665971",
"telephone_number": "757-751-6236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTER",
"first_name": "TESSAH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.