Gino J Bianconi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002712 Issued in VA

Practice address

236 Carmichael Way Ste 318
Chesapeake, VA 23322-2185

Phone

(757) 255-1330

NPI assigned

Sep 26, 2018

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Platinum Eye Care LLC

  dba Modern Eyes Optometry

  • Optometrist
  • Virginia Beach, VA
  • NPI 1790837854
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1386129252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523414",
            "telephone_number": "757-463-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CARMICHAEL WAY STE 318",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222185",
            "telephone_number": "757-255-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3712 Virginia Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234523414",
            "country_code": "US",
            "telephone_number": "757-463-3576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIANCONI",
        "first_name": "GINO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003485",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BHG Lix, LLC (BHG Medical Services Chesapeake South)
• BHG Lxxvi, LLC
• BHG Lxxvi, LLC
• BHG Xli, LLC (BHG Chesapeake Treatment Center)
• BHG Xlii, LLC (BHG Chesapeake South Treatment Center)
• Stephen Alexander Biggs, MPAS, PA-C
• Adam Billet, M.D.,FACS
• Angela Billings
• Kalen M Binegar, M.A.,CCC-SLP
• Bio-Medical Applications of Virginia, Inc. (Dominion Dialysis)

• Optometrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.