Active NPI
Mitrev Eye Center, PC
- Ophthalmology Physician
- Chesapeake, VA
National Provider Identifier
1619149945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101222101
- Legal business name
- MITREV EYE CENTER, PC
- Practice address
- 516 Innovation Drive
Suite 102
Chesapeake, VA 23320-4988 - Phone
- (757) 382-9400
- Fax
- (757) 436-6201
- NPI assigned
- Mar 27, 2008
- 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
- Peter V. Mitrev, M.D.
- Title
- President/Ceo
- Phone
- (757) 382-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101222101 | VA | Primary |
Addresses
Primary practice location
516 Innovation Drive
Suite 102
Chesapeake, VA 23320-4988
Mailing address
516 Innovation Drive
Suite 102
Chesapeake, VA 23320-4988
Phone (757) 382-9400
Other names 1
- Peter M. Mitrev, M.D.
National Provider Directory
National Provider DirectoryLocations
516 Innovation Dr
Ste 102
Chesapeake, VA 23320
Phone (757) 382-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229904000000",
"number": "1619149945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 INNOVATION DRIVE",
"address_2": "SUITE 102",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204988",
"telephone_number": "757-382-9400",
"fax_number": "757-436-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 INNOVATION DRIVE",
"address_2": "SUITE 102",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204988",
"telephone_number": "757-382-9400",
"fax_number": "757-436-6201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITREV EYE CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-12-22",
"status": "A",
"authorized_official_last_name": "MITREV",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "757-382-9400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101222101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peter M. Mitrev, M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.