Organization Active NPI

Chan Eye Care, PLLC

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1629329875
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001176 Issued in VA
Legal business name
CHAN EYE CARE, PLLC
Practice address
1925 Landstown Centre Way
Suite 250
Virginia Beach, VA 23456-1645
Phone
(757) 430-8800
Fax
(757) 430-8801
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Dr. Zoee Chan-Perez, O.D.
Title
Owner
Phone
(757) 430-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001176 VA Primary

Addresses

Primary practice location

1925 Landstown Centre Way
Suite 250
Virginia Beach, VA 23456-1645

Mailing address

1925 Landstown Centre Way
Suite 250
Virginia Beach, VA 23456-1645
Phone (757) 430-8800

Other identifiers 1

IdentifierTypeStateIssuer
1558405803MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170414000004 VA Part B Supplier - Clinic/Group Practice 3870879463 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1925 Landstown Centre Way
Ste 25
Virginia Beach, VA 23456

1925 Landstown Centre Way
Virginia Beach, VA 23456

1925 Landstown Centre Way
Ste 250
Virginia Beach, VA 23456
Phone (757) 430-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1629329875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 LANDSTOWN CENTRE WAY",
            "address_2": "SUITE 250",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561645",
            "telephone_number": "757-430-8800",
            "fax_number": "757-430-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 LANDSTOWN CENTRE WAY",
            "address_2": "SUITE 250",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561645",
            "telephone_number": "757-430-8800",
            "fax_number": "757-430-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "CHAN-PEREZ",
        "authorized_official_first_name": "ZOEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-430-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558405803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.