Organization Active NPI

Dr PG Moerschell OD Inc

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1487833935
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000226 Issued in VA
Legal business name
DR PG MOERSCHELL OD INC
Practice address
291 Independence Blvd
Ste 110
Virginia Beach, VA 23462-5476
Phone
(757) 499-2389
Fax
(757) 499-0696
NPI assigned
Nov 1, 2007
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Paul G Moerschell III, ODNPI 1386661395
Title
Owner
Phone
(757) 499-2389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000226 VA Primary

Addresses

Primary practice location

291 Independence Blvd
Ste 110
Virginia Beach, VA 23462-5476

Mailing address

291 Independence Blvd
Suite 110
Virginia Beach, VA 23462-5481
Phone (757) 499-2389

National Provider Directory

National Provider Directory

Locations

291 Independence Blvd
Ste 110
Virginia Beach, VA 23462
Phone (757) 499-2389

Practitioners & affiliated clinicians

Practitioners 3

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1487833935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD",
            "address_2": "SUITE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625481",
            "telephone_number": "757-499-2389",
            "fax_number": "757-499-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD",
            "address_2": "STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625476",
            "telephone_number": "757-499-2389",
            "fax_number": "757-499-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PG MOERSCHELL OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "MOERSCHELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-499-2389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000226",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.