Organization Active NPI

Mitrev Eye Center, PC

  • Ophthalmology Physician
  • Chesapeake, VA
National Provider Identifier
1619149945
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101222101 Issued in VA
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

Updated by the provider on Dec 22, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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. Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.