Organization Active NPI

Verdi Eye Specialist PLLC

  • Ophthalmology Physician
  • Norfolk, VA
National Provider Identifier
1487729679
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VERDI EYE SPECIALIST PLLC
Practice address
3921 Granby St
Suite a
Norfolk, VA 23504-1201
Phone
(757) 583-5826
Fax
(757) 588-2712
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Vincent J VerdiNPI 1053326777
Title
MD
Phone
(757) 583-5826

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3921 Granby St
Suite a
Norfolk, VA 23504-1201

Mailing address

3921 Granby St
Suite a
Norfolk, VA 23504-1201
Phone (757) 583-5826

Other identifiers 1

IdentifierTypeStateIssuer
010134510MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112001082 VA Part B Supplier - Clinic/Group Practice 4082663422 Receives reassigned benefits from 3 practitioners
Practice locations: Chesapeake, VA; Norfolk, VA

National Provider Directory

National Provider Directory
Tax ID family
Verdi Eye Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3921 Granby St
#A
Norfolk, VA 23504
Phone (757) 583-5826

Interoperability endpoints

  • Direct secure messaging: vverdi@cecves.intellechartdirect.net
  • Direct secure messaging: qfranklin@cecves.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1487729679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 GRANBY ST",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041201",
            "telephone_number": "757-583-5826",
            "fax_number": "757-588-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 GRANBY ST",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041201",
            "telephone_number": "757-583-5826",
            "fax_number": "757-588-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDI EYE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "VERDI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "757-583-5826",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010134510",
            "state": "VA"
        }
    ],
    "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 Feb 13, 2014; 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.