David Domachowski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002430. Issued in VA

Practice address

813 Independence Blvd
Virginia Beach, VA 23455-6004

Phone

(757) 490-9091

Fax

(757) 490-8334

NPI assigned

Jul 31, 2015

Last updated

Jul 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Eye Specialists LTD

  • Ophthalmology Physician
  • Virginia Beach, VA
  • NPI 1720179104

  Optometrist

  Medicare reassignment NPD
• Dittman Eyecare, Inc.

  • Optometrist
  • Butler, PA
  • NPI 1073653564
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1588040695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556004",
            "telephone_number": "757-490-9091",
            "fax_number": "757-490-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556004",
            "telephone_number": "757-490-9091",
            "fax_number": "757-490-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMACHOWSKI",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002430.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard P Dolenuck, DDS
• Lynsey Dollar
• Dollie and Clara Home Healthcare
• Dolmat Chiropractic Clinic, Inc. (Dolmat Chiropractic Clinic)
• Brian Joseph Dolmat, D.C.
• Jeffrey D Domark, DMD, MS
• Dominion Eyecare PLLC
• Dominion Psychiatric Associates (Turning Point IOP)
• Dominion Psychiatric Associates
• Don L. Conaway, M.D., P.C.

• Optometrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.