Individual provider Active NPI

Fadee Michael Bittar, OD

  • Optometrist
  • Newport News, VA
National Provider Identifier
1508941709
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001533 Issued in VA
Practice address
19 Hidenwood Shopping Ctr
Newport News, VA 23606-2200
Phone
(757) 324-3952
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001533 VA Primary

Addresses

Primary practice location

19 Hidenwood Shopping Ctr
Newport News, VA 23606-2200

Mailing address

1116 Patrick LN
Newport News, VA 23608-3157
Phone (757) 814-5625

Other identifiers 1

IdentifierTypeStateIssuer
010210259MedicaidVA

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
I20051110000524 VA Practitioner - Optometry 9537187265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Hiden Boulevard Unit
Suite 19
Newport News, VA 23606

2 Hiden Boulevard Unit
Suite 19
Newport News, VA 23606-2639

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001533VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seen Family Eyecare PLC Optometrist CurrentSince May 11, 2023 Accepting new patients
National Optometry Steven Kasinof and 17 Associates Optometrists Optometrist Past Accepting new patients
National Optometry Steven Kasinof and 17 Associates Optometrists Optometrist Past Accepting new patients

Locations

19 Hidenwood Shopping Ctr
Newport News, VA 23606
Phone (757) 324-3952

Interoperability endpoints

  • Direct secure messaging: fadee.bittar@direct.revolutionehr.com

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1508941709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 PATRICK LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083157",
            "telephone_number": "757-814-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HIDENWOOD SHOPPING CTR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062200",
            "telephone_number": "757-324-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTAR",
        "first_name": "FADEE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010210259",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.