Individual provider Active NPI

Douglas Lee Shames, O.D.

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1659557163
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001247 Issued in VA
Practice address
1255 Fordham Dr Ste 114
Virginia Beach, VA 23464-5347
Phone
(757) 523-0161
NPI assigned
Jan 15, 2008
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001247 VA Primary

Addresses

Primary practice location

1255 Fordham Dr Ste 114
Virginia Beach, VA 23464-5347

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120001838 VA Practitioner - Optometry 6002208204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001247VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

1328 Greenbrier Pkwy
Ste 420
Chesapeake, VA 23320
Phone (757) 523-2000

4300 Portsmouth Blvd
Ste 180
Chesapeake, VA 23321
Phone (757) 465-5555

1663 Virginia Ave
Ste 110
Harrisonburg, VA 22802
Phone (540) 442-7742

12090 Jefferson Ave
Ste 1010
Newport News, VA 23606
Phone (757) 249-0737

422 Oriana Rd
Newport News, VA 23608
Phone (757) 875-0675

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1255 Fordham Dr
Ste 114
Virginia Beach, VA 23464
Phone (757) 523-0161

2720 North Mall Dr
Ste 108
Virginia Beach, VA 23452
Phone (757) 431-1111

3750 Virginia Beach Blvd
Ste 1
Virginia Beach, VA 23452
Phone (757) 486-1712

6515 George Washington Mem Hwy
Ste 102
Yorktown, VA 23692
Phone (757) 369-6623

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1659557163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 FORDHAM DR STE 114",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645347",
            "telephone_number": "757-523-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMES",
        "first_name": "DOUGLAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.