Rebecca Dawn Bumgardner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002245 Issued in VA

Practice address

3332 Princess Anne Rd
Suite 611
Virginia Beach, VA 23456-2613

Phone

(757) 368-2828

NPI assigned

Jul 31, 2013

Last updated

Jul 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garry C Shoemaker OD PCGroup PAC ID 3779619747, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Garry C. Shoemaker, O.D., P.C.

  dba Seascape Eyecare Associates

  • Optometrist
  • Virginia Beach, VA
  • NPI 1508196668
  Medicare reassignment Care Compare group NPD
• America's Best Contacts & Eyeglasses

  • Optician
  • Virginia Beach, VA
  • NPI 1598931776
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1598197501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 PRINCESS ANNE RD",
            "address_2": "SUITE 611",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234562613",
            "telephone_number": "757-368-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 PRINCESS ANNE RD",
            "address_2": "SUITE 611",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234562613",
            "telephone_number": "757-368-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "REBECCA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1761",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Bullard Jr., M.D.
• Mikaela Deanna Bullard
• Nicholas Wheeling Bulleit, LPTA
• Larry Joel Bullock, DDS
• Steve Thomas Toshio Bullock
• Andy Cameron Bunch, M.D.
• Kathleen Louise Bunch
• Lorenzo Jermaine Bunch
• Aimee Bundick Morgan, PA
• Sarai Medina Bundoc

• 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, 2013; 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.

Verify at the official NPI Registry.