NPIMap

Organization Active NPI

Eastern Virginia Eye Associates, PC

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1386824399
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EASTERN VIRGINIA EYE ASSOCIATES, PC
Practice address
1249 Cedar Rd
Suite 104
Chesapeake, VA 23322-7292
Phone
(757) 436-3937
Fax
(757) 436-3209
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Dr. Michael S Swatts, ODNPI 1558331926
Title
Owner
Phone
(757) 436-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1249 Cedar Rd
Suite 104
Chesapeake, VA 23322-7292

Mailing address

1108 Cedar Rd
Chesapeake, VA 23322-7102
Phone (757) 436-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000687 VA Part B Supplier - Clinic/Group Practice 9436328739 Receives reassigned benefits from 6 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

1108 Cedar Rd
Chesapeake, VA 23322
Phone (757) 436-3937

1249 Cedar Rd
Ste 104
Chesapeake, VA 23322
Phone (757) 436-3937

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1386824399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 CEDAR RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227102",
            "telephone_number": "757-436-3937",
            "fax_number": "757-436-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 CEDAR RD",
            "address_2": "SUITE 104",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227292",
            "telephone_number": "757-436-3937",
            "fax_number": "757-436-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN VIRGINIA EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "SWATTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-436-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.