Active NPI
Ira Lederman MD PC
- Ophthalmic Technician/Technologist
- Norfolk, VA
National Provider Identifier
1528117801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- 0101016600
- Legal business name
- IRA LEDERMAN MD PC
- Practice address
- 7312 Granby St
Norfolk, VA 23505-3442 - Phone
- (757) 583-5826
- Fax
- (757) 588-2712
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pam Hopkins
- Title
- Billing Administrator
- Phone
- (757) 583-5826
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | 0101016600 | VA | Primary |
Addresses
Primary practice location
7312 Granby St
Norfolk, VA 23505-3442
Mailing address
7312 Granby St
Norfolk, VA 23505-3442
Phone (757) 583-5826
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10003994 | Other | OPTIMA | |
| 11392646 | Other | CAQH | |
| 188089 | Other | VA | BLUE CROSS PIN# |
| 188089 | Other | BCBS | |
| GROUP DE8392 | Other | RAILROAD MEDICARE | |
| P00319350 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
7312 Granby St
Norfolk, VA 23505
Phone (757) 583-5826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1528117801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7312 GRANBY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053442",
"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": "7312 GRANBY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053442",
"telephone_number": "757-583-5826",
"fax_number": "757-588-2712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRA LEDERMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HOPKINS",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "BILLING ADMINISTRATOR",
"authorized_official_telephone_number": "757-583-5826"
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ophthalmic",
"state": "VA",
"license": "0101016600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "10003994",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11392646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN#",
"identifier": "188089",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "188089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "GROUP DE8392",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00319350",
"state": null
}
],
"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 Apr 20, 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.