Active NPI
Samantha Morgan Kayser, OD
- Optometrist
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 618002684
- Practice address
- 600 Peter Jefferson Pkwy
Charlottesville, VA 22911-8835 - Phone
- (434) 975-2420
- Fax
- (434) 975-0200
- NPI assigned
- Oct 3, 2017
- Last updated
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 618002684 | VA | Primary |
Addresses
Primary practice location
600 Peter Jefferson Pkwy
Charlottesville, VA 22911-8835
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 618002684 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Optometrist | Current | Accepting new patients |
| Nova Southeastern University Inc. | Current | Accepting new patients |
Locations
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
1111 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 463-7313
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000
Organizations & group practices 3
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.
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1700924511
-
- Allergy & Immunology (Internal Medicine) Physician
- Miami, FL
- NPI 1336477397
-
- Clinical Medical Laboratory
- Fort Lauderdale, FL
- NPI 1770533390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1730699943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PETER JEFFERSON PKWY",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229118835",
"telephone_number": "434-975-2420",
"fax_number": "434-975-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYSER",
"first_name": "SAMANTHA",
"middle_name": "MORGAN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "618002684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.