Active NPI
Andrew James Pisetzner, OD
- Optometrist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618003050
- Practice address
- 11800 Rock Landing Dr
Newport News, VA 23606-4206 - Phone
- (757) 643-8800
- Fax
- (757) 643-8919
- NPI assigned
- Sep 25, 2020
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618003050 | VA | Primary |
Addresses
Primary practice location
11800 Rock Landing Dr
Newport News, VA 23606-4206
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 Rock Landing Dr
Newport News, VA 23606-4206
Phone (757) 643-8800
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Current | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
Locations
11800 Rock Landing Dr
Newport News, VA 23606
Phone (757) 643-8800
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
Interoperability endpoints
- apisetzner159373@direct.rivhs.com
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1497362248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 ROCK LANDING DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064206",
"telephone_number": "757-643-8800",
"fax_number": "757-643-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISETZNER",
"first_name": "ANDREW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-25",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.