Ira Robert Lederman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101016600 Issued in VA

Practice address

3921 Granby St
Suite a
Norfolk, VA 23504-1201

Phone

(757) 583-5826

Fax

(757) 588-2712

NPI assigned

Jul 30, 2006

Last updated

Feb 13, 2014By 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 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ilederman@cecnc.intellechartdirect.net

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.

• Verdi Eye Specialist PLLC

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1487729679
  Medicare reassignment NPD
• Coastal Eye Center PLLC

  • Ophthalmic Technician/Technologist
  • Elizabeth City, NC
  • NPI 1871652875
  NPD
• Chesapeake Eye Physicians, PLC

  dba Chesapeake Eye Care and Laser Center

  • Ophthalmology Physician
  • Chesapeake, VA
  • NPI 1831288257
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1780699413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 GRANBY ST",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041201",
            "telephone_number": "757-583-5826",
            "fax_number": "757-588-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 GRANBY ST",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041201",
            "telephone_number": "757-583-5826",
            "fax_number": "757-588-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "IRA",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101016600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010137225",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "172820",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Klair League, PA-C
• Laura Leatherman, LCSW
• Leaves of Change Counseling LLC
• Rianna C Leazer, MD
• Victoria Lebedko, DPT
• Lisa Lee-Hannan
• Albert H Lee, M.D.
• Blair C Lee, M.D.
• Chong S. Lee, M.D.
• Daniel Dongjun Lee, D.M.D.

• Ophthalmology Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.

Verify at the official NPI Registry.