Individual provider Active NPI

Russel E Bessell, OD

  • Optometrist
  • Hampton, VA
National Provider Identifier
1487693883
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000154 Issued in VA
Practice address
1613 Hardy Cash Dr
Hampton, VA 23666-2414
Phone
(757) 229-4000
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000154 VA Primary

Addresses

Primary practice location

1613 Hardy Cash Dr
Hampton, VA 23666-2414

Mailing address

PO Box 1290
Forest, VA 24551-1290
Phone (434) 385-5600

Other practice location 1

2801 Boulevard Ste C
Colonial Heights, VA 23834-2323
Phone (804) 285-0680

Other practice location 2

5215 Monticello Ave
Williamsburg, VA 23188-8232
Phone (757) 229-4000

Other practice location 3

2010 Bremo Rd
Ste 128
Richmond, VA 23226-2444
Phone (804) 285-0680

Other practice location 4

315 Furr St
South Hill, VA 23970-9500
Phone (804) 285-0680

Other identifiers 1

IdentifierTypeStateIssuer
010117585MedicaidVA

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000432 VA Practitioner - Optometry 6406956572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000154VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 23, 2021 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 23, 2021 Accepting new patients
Hal W Breedlove OD PC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

1328 Greenbrier Pkwy
Ste 420
Chesapeake, VA 23320
Phone (757) 523-2000

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1487693883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511290",
            "telephone_number": "434-385-5600",
            "fax_number": "434-455-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662414",
            "telephone_number": "757-229-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Boulevard Ste C",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342323",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 Monticello Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888232",
            "country_code": "US",
            "telephone_number": "757-229-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 BREMO RD",
            "address_2": "STE 128",
            "address_purpose": "LOCATION",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262444",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "fax_number": "804-282-6365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Furr St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239709500",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESSELL",
        "first_name": "RUSSEL",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010117585",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.