Eyecare Optometry Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

0603000101 Issued in VA

Legal business name

EYECARE OPTOMETRY ASSOCIATES

Practice address

4554 Virginia Beach Blvd
Pembroke Mall Suite 590
Virginia Beach, VA 23462-3045

Phone

(757) 497-3205

Fax

(757) 497-2582

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Patrick Bond, O.D.NPI 1174601421

Title

Owner/Optometrist

Phone

(757) 497-3205

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Nathan Patrick Bond, OD

  • Optometrist
  • Virginia Beach, VA
  • NPI 1174601421
  Medicare reassignment Care Compare group NPD Authorized official
• Athamandia Perry

  • Optometrist
  • Virginia Beach, VA
  • NPI 1891369948
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1407073638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 VIRGINIA BEACH BLVD",
            "address_2": "PEMBROKE MALL SUITE 590",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623045",
            "telephone_number": "757-497-3205",
            "fax_number": "757-497-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 VIRGINIA BEACH BLVD",
            "address_2": "PEMBROKE MALL SUITE 590",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623045",
            "telephone_number": "757-497-3205",
            "fax_number": "757-497-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE OPTOMETRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "757-497-3205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9231480",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Joseph Exner, RPH
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• Gabrielle Exum, LPC
• Eye Surgery Limited LLC
• Eyelid & Oculoplastic Consultants, PC
• Eyemart Express LLC
• Jonah Anyaogu Ulu Ezieme, MD
• F.C. of Virginia, Inc
• Matthew Faauli, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.