Individual provider Active NPI

Dayna M Lago, MD

  • Ophthalmology Physician
  • Norfolk, VA
National Provider Identifier
1750351110
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101051282 Issued in VA
Practice address
241 Corporate Blvd
Norfolk, VA 23502-4965
Phone
(757) 622-2200
Fax
(757) 622-4866
NPI assigned
Jan 26, 2006
Last updated
Mar 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101051282 VA Primary

Addresses

Primary practice location

241 Corporate Blvd
Norfolk, VA 23502-4965

Mailing address

241 Corporate Blvd
Norfolk, VA 23502-4965
Phone (757) 622-2200

Other identifiers 4

IdentifierTypeStateIssuer
1750351110MedicaidVA
344008OtherVAANTHEM
541150779OtherVATRICARE
016331V49OtherVAMEDICAR

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
I20080404000527 VA Practitioner - Ophthalmology 2668559352 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051282VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eye Consultants Inc Ophthalmology CurrentSince Feb 1, 2008 Accepting new patients

Locations

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

241 Corporate Blvd
Ste 210
Norfolk, VA 23502

2020 General Booth Blvd
Virginia Beach, VA 23454
Phone (757) 742-3902

465 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 481-5555

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1750351110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024965",
            "telephone_number": "757-622-2200",
            "fax_number": "757-622-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024965",
            "telephone_number": "757-622-2200",
            "fax_number": "757-622-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGO",
        "first_name": "DAYNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101051282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750351110",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "344008",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541150779",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR",
            "identifier": "016331V49",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.