Active NPI
Steve Nicholas Skamagos
- Optician
- Norfolk, VA
National Provider Identifier
1417732124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1101004567
- Practice address
- 1600 Premium Outlets Blvd Ste 860
Norfolk, VA 23502-5524 - Phone
- (757) 673-2504
- NPI assigned
- Aug 30, 2023
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101004567 | VA | Primary |
Addresses
Primary practice location
1600 Premium Outlets Blvd Ste 860
Norfolk, VA 23502-5524
Mailing address
1600 Premium Outlets Blvd Ste 860
Norfolk, VA 23502-5524
Phone (757) 673-2504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101004567 | VA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1417732124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PREMIUM OUTLETS BLVD STE 860",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235025524",
"telephone_number": "757-673-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PREMIUM OUTLETS BLVD STE 860",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235025524",
"telephone_number": "757-673-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAMAGOS",
"first_name": "STEVE",
"middle_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-30",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "1101004567",
"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 Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.