Organization Active NPI

Michael a Angotti

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1801805247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MICHAEL A ANGOTTI
Practice address
3590 Holland Rd
104
Virginia Beach, VA 23452-4053
Phone
(757) 340-9680
Fax
(757) 463-5496
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A Angotti, O.D.
Title
Owner
Phone
(757) 340-9680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3590 Holland Rd
104
Virginia Beach, VA 23452-4053

Mailing address

3590 Holland Rd
104
Virginia Beach, VA 23452-4053
Phone (757) 340-9680

Other identifiers 1

IdentifierTypeStateIssuer
9204181MedicaidVA

Other names 1

  • Michael Angotti OD Doing business as

National Provider Directory

National Provider Directory

Locations

3590 Holland Rd
Ste 104
Virginia Beach, VA 23452
Phone (757) 340-9680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801805247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 HOLLAND RD",
            "address_2": "104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524053",
            "telephone_number": "757-340-9680",
            "fax_number": "757-463-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 HOLLAND RD",
            "address_2": "104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524053",
            "telephone_number": "757-340-9680",
            "fax_number": "757-463-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A ANGOTTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGOTTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-340-9680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9204181",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Angotti OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.