James Vincent Cornetta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000158 Issued in VA

Practice address

226 Fort LN
Portsmouth, VA 23704-2220

Phone

(757) 393-6131

Fax

(757) 393-0976

NPI assigned

Nov 4, 2005

Last updated

Jun 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Southern College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr James V Cornetta LTDGroup PAC ID 1254383136, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. James V. Cornetta LTD

  • Optometrist
  • Portsmouth, VA
  • NPI 1194716928
  Medicare reassignment Care Compare group NPD Authorized official
• Pegram & Cornetta P L C

  dba Ghent Eye Care

  • Optometrist
  • Norfolk, VA
  • NPI 1770558561
  Medicare reassignment NPD Authorized official
• PMR Virginia Holding, LLC

  dba Jencare Senior Medical Centers of Virginia

  • Specialist
  • Miami Gardens, FL
  • NPI 1083167001
  NPD

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1689665861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 FORT LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042220",
            "telephone_number": "757-393-6131",
            "fax_number": "757-939-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 FORT LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042220",
            "telephone_number": "757-393-6131",
            "fax_number": "757-393-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETTA",
        "first_name": "JAMES",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "25072",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010284716",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "178555",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Cordero, DNP
• Teddy Cordero, BSN, RN
• Core Services & Support LLC.
• Laura Corey, PHD
• Corner of Life Family Services LLC
• Zaneta Kinga Corral, DMD
• Tymesia Vincencia Cortez, ACNP-BC
• Anthony Joseph Cossetti, MD
• Varea Costello, DO, MPH
• Christian James Coulson, MD

• Optometrist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.