Individual provider Active NPI

Laura Bagdonaite Bejarano, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Virginia Beach, VA
National Provider Identifier
1659720589
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
0101269684 Issued in VA
Practice address
4665 South Blvd
Virginia Beach, VA 23452-1055
Phone
(757) 461-0050
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 0101269684 VA Primary

Addresses

Primary practice location

4665 South Blvd
Virginia Beach, VA 23452-1055

Mailing address

4665 South Blvd
Virginia Beach, VA 23452-1055
Phone (757) 461-0050

Other practice location 1

701 25th Ave S
Suite 300
Minneapolis, MN 55454-1513
Phone (612) 365-8350

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206000698 VA Practitioner - Ophthalmology 4587940143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Earl R Crouch Jr MD Facs PCGroup PAC ID 9032180609, 3 clinicians

Practice addresses (Care Compare)

4665 S Blvd
Virginia Beach, VA 23452-1055
Phone (757) 461-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101269684VAMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Earl R Crouch Jr MD Facs PC CurrentSince Nov 11, 2021 Accepting new patients

Locations

1564 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 420-8002

601 Childrens Ln
Ste 5C
Norfolk, VA 23507
Phone (757) 668-7878

4665 South Blvd
Virginia Beach, VA 23452
Phone (757) 461-0050

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1659720589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 SOUTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521055",
            "telephone_number": "757-461-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 SOUTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521055",
            "telephone_number": "757-461-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 25th Ave S",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541513",
            "country_code": "US",
            "telephone_number": "612-365-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGDONAITE BEJARANO",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "VA",
            "license": "0101269684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.