NPIMap

Organization Active NPI

Retina & Vitreous Center PC

Doing business as Wagner Kapoor Institute

  • Specialist
  • Norfolk, VA
National Provider Identifier
1639252000
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101039260 Issued in VA
Legal business name
RETINA & VITREOUS CENTER PC
Doing business as
Wagner Kapoor Institute
Practice address
6160 Kempsville Cir Ste 120B
Norfolk, VA 23502-3933
Phone
(757) 481-4400
Fax
(757) 481-1285
NPI assigned
Oct 22, 2006
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Alan L. Wagner, M.D.NPI 1295719631
Title
President
Phone
(757) 481-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101039260 VA Primary

Addresses

Primary practice location

6160 Kempsville Cir Ste 120B
Norfolk, VA 23502-3933

Mailing address

6160 Kempsville Cir Ste 250B
Norfolk, VA 23502-3933
Phone (757) 481-4400

Other names 1

  • Wagner Kapoor Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050627000849 VA Part B Supplier - Clinic/Group Practice 4486699717 Receives reassigned benefits from 10 practitioners
Practice locations: Kilmarnock, VA; Virginia Beach, VA; Suffolk, VA; Richmond, VA; North Chesterfield, VA; Norfolk, VA; Chesapeake, VA; Exmore, VA…
O20150420001926 NC Part B Supplier - Clinic/Group Practice 4486699717 Receives reassigned benefits from 4 practitioners
Practice locations: Elizabeth City, NC

National Provider Directory

National Provider Directory

Locations

1855 W City Dr
Elizabeth Cty, NC 27909
Phone (252) 338-3909

809 Greenbrier Pkwy
Chesapeake, VA 23320

809 Greenbrier Pkwy
Ste 109
Chesapeake, VA 23320

1062 W Mercury Blvd
Unit A
Hampton, VA 23666

1062A W Mercury Blvd
Hampton, VA 23666

12690 McManus Blvd
Newport News, VA 23602
Phone (757) 875-7700

1800 Republic Rd
Ste 115
Virginia Beach, VA 23454

5520 Greenwich Rd
Ste 204
Virginia Beach, VA 23462

6401 Auburn Dr
Virginia Beach, VA 23464
Phone (757) 420-1485

968 First Colonial Rd
Ste 105
Virginia Beach, VA 23454
Phone (804) 481-4400

Interoperability endpoints

  • Direct secure messaging: aaldabbagh@wmrc.intellechartdirect.net
  • Direct secure messaging: acosten@wmrc.intellechartdirect.net
  • Direct secure messaging: eberger@wmrc.intellechartdirect.net
  • Direct secure messaging: hbernstein@wmrc.intellechartdirect.net
  • Direct secure messaging: nsarvella@wmrc.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1639252000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 250B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-481-4400",
            "fax_number": "757-481-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 120B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-481-4400",
            "fax_number": "757-481-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA & VITREOUS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-481-4400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101039260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wagner Kapoor Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.