Active NPI
James Ronald Komornik, OD
- Optometrist
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002581
- Practice address
- 4035 E Ocean View Ave Ste 200
Norfolk, VA 23518-1612 - Phone
- (757) 355-5553
- NPI assigned
- Jun 9, 2017
- Last updated
- Jun 27, 2024
- Sex
- Male
- 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 | 0618002581 | VA | Primary |
Addresses
Primary practice location
4035 E Ocean View Ave Ste 200
Norfolk, VA 23518-1612
Mailing address
4035 E Ocean View Ave Ste 200
Norfolk, VA 23518-1612
Phone (757) 355-5553
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9573 Shore Dr
Suite E
Norfolk, VA 23518-1722
Phone (757) 355-5553
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002581 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. James Komornik LLC | Optometrist | Current | Accepting new patients |
Locations
4035 E Ocean View Ave
Ste 200
Norfolk, VA 23518
Phone (757) 355-5553
9573 Shore Dr
Ste E
Norfolk, VA 23518
Phone (757) 355-5553
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1366971574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 E OCEAN VIEW AVE STE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235181612",
"telephone_number": "757-355-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 E OCEAN VIEW AVE STE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235181612",
"telephone_number": "757-355-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMORNIK",
"first_name": "JAMES",
"middle_name": "RONALD",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-09",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.