Andrew Joseph Odwyer, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101021632 Issued in VA

Practice address

2016 Meade Pkwy
Suffolk, VA 23434-4259

Phone

(757) 539-1533

Fax

(757) 539-6591

NPI assigned

Jun 9, 2005

Last updated

Feb 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Schneider Eye Physicians PC

  dba Suffolk Eye Physicians & Surgeons

  • Ophthalmology Physician
  • Suffolk, VA
  • NPI 1548510589
  Medicare reassignment NPD
• Suffolk Eye Physicians and Surgeons

  • Ophthalmology Physician
  • Suffolk, VA
  • NPI 1306863337
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1386648053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 MEADE PKWY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-539-1533",
            "fax_number": "757-539-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 MEADE PKWY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-539-1533",
            "fax_number": "757-539-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODWYER",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101021632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obici Medical Management Services, Inc (Suffolk Family Medical Center)
• Occussage Therapies, LLC
• Ocean Wounds VA PLLC
• Anastasia Ochsenreither, PA-C
• Charles Lloyd Odea, D.C.
• Obiora Ofole, MD
• Ugochi Ofole, MD
• Emmanuel Ofosu Agyei, NP
• Chika I Ogbolu, NP
• Onweli Ernest Ogbolu, M.D.

• Ophthalmology Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.