Organization Active NPI

Atlantic Eye Consultants

  • Ophthalmology Physician
  • Virginia Beach, VA
National Provider Identifier
1457470338
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101048211 Issued in VA
Legal business name
ATLANTIC EYE CONSULTANTS
Practice address
1012 First Colonial Rd
Virginia Beach, VA 23454-3072
Phone
(757) 481-3800
Fax
(757) 481-7743
NPI assigned
Mar 29, 2007
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Aris Philip Delianides, M.D.NPI 1902807449
Title
President
Phone
(757) 481-3800

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
Ophthalmology Physician 207W00000X 0101048211 VA Primary

Addresses

Primary practice location

1012 First Colonial Rd
Virginia Beach, VA 23454-3072

Mailing address

1800 Keelingwood LN
Virginia Beach, VA 23454-1034
Phone (757) 496-8036

Other identifiers 1

IdentifierTypeStateIssuer
006308201MedicaidVA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2113521Atlantic Eye Consultants1012 First Colonial Road, Virginia Beach, VA 23454Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1457470338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 KEELINGWOOD LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541034",
            "telephone_number": "757-496-8036",
            "fax_number": "757-496-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543072",
            "telephone_number": "757-481-3800",
            "fax_number": "757-481-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC EYE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "DELIANIDES",
        "authorized_official_first_name": "ARIS",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-481-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101048211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006308201",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.