Hampton Roads Retina Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101056722 Issued in VA

Legal business name

HAMPTON ROADS RETINA CENTER

Practice address

516 Innovation Dr
Suite 101
Chesapeake, VA 23320-3866

Phone

(757) 436-0011

Fax

(757) 436-0075

NPI assigned

Aug 31, 2006

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon M Adleberg, M.D.NPI 1710981246

Title

President

Phone

(757) 436-0011

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Jon Michael Adleberg, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Chesapeake, VA
  • NPI 1710981246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1659483022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 INNOVATION DR",
            "address_2": "SUITE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203866",
            "telephone_number": "757-436-0011",
            "fax_number": "757-436-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 INNOVATION DR",
            "address_2": "SUITE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203866",
            "telephone_number": "757-436-0011",
            "fax_number": "757-436-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS RETINA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "ADLEBERG",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-436-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101056722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA",
            "identifier": "56198",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "2248749C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005088230",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006309895",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "461049",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hampton Roads Kidney & Internal Medicine LLC (Hampton Roads Kidney and Internal Medicine, LLC)
• Hampton Roads Pathology Inc
• Hampton Roads Pediatric Dentistry and Orthodontics, PLLC (Hanbury Pediatric Dentistry)
• Hampton Roads Physical Therapy and Movement Center LLC
• Hampton Roads Psychiatry PLLC
• Hampton Roads Ultrasound
• Hampton Vamc
• Hampton Vamc
• Hampton Vamc
• Hampton Vamc

• Specialist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.