Individual provider Active NPI

Joel Kenneth Lall-Trail, M.D.

  • Ophthalmology Physician
  • Norfolk, VA
National Provider Identifier
1821099243
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101227716 Issued in VA
Practice address
885 Kempsville Rd Ste 101
Norfolk, VA 23502-3800
Phone
(757) 461-1444
Fax
(757) 461-8238
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 0101227716 VA
Ophthalmology Physician 207W00000X 0101227716 VA Primary

Addresses

Primary practice location

885 Kempsville Rd Ste 101
Norfolk, VA 23502-3800

Mailing address

885 Kempsville Rd
Suite 101
Norfolk, VA 23502-3800
Phone (757) 461-1444

Other identifiers 14

IdentifierTypeStateIssuer
0800727OtherVAUNITED HEALTH CARE PROV
89063YKOtherNCNC MEDICAID
216425OtherVAANTHEM PROV #
541299712OtherVASUPERIOR VISION PROV #
600215467OtherVACIGNA
6308289MedicaidVA
216425OtherVAHEALTHKEEPERS PROV #
541299712OtherVAPHCS PROVIDER #
28935OtherVAOPTIMA PROV #
541299712OtherVAFIRST HEALTH PROV #
6301100OtherVAVA PREMIER PROV #
180040530OtherVARAILROAD MEDICARE
541299712OtherVAVA HEALTH NETWORK
7013145OtherVAAETNA PROV #

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
I20100421000285 VA Practitioner - Ophthalmology 3173650231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Ophthalmology Associates PCGroup PAC ID 1658344908, 6 clinicians

Practice addresses (Care Compare)

885 Kempsville Rd
Suite 101
Norfolk, VA 23502-3800
Phone (757) 461-1444

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Ophthalmology Associates, P.C. Ophthalmology CurrentSince Jan 1, 2002 Accepting new patients
Virginia Ophthalmology Associates CurrentSince Jan 1, 2002 Accepting new patients

Locations

885 Kempsville Rd
Ste 101
Norfolk, VA 23502
Phone (757) 461-1444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1821099243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD",
            "address_2": "SUITE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-461-1444",
            "fax_number": "757-461-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-461-1444",
            "fax_number": "757-461-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALL-TRAIL",
        "first_name": "JOEL",
        "middle_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "VA",
            "license": "0101227716",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101227716",
            "primary": true
        }
    ],
    "identifiers": [
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            "issuer": "UNITED HEALTH CARE PROV",
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            "identifier": "89063YK",
            "state": "NC"
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        {
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            "identifier": "216425",
            "state": "VA"
        },
        {
            "code": "01",
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            "issuer": "SUPERIOR VISION PROV #",
            "identifier": "541299712",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "600215467",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6308289",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS PROV #",
            "identifier": "216425",
            "state": "VA"
        },
        {
            "code": "01",
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            "issuer": "PHCS PROVIDER #",
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            "state": "VA"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA PROV #",
            "identifier": "28935",
            "state": "VA"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROV #",
            "identifier": "541299712",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER PROV #",
            "identifier": "6301100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180040530",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK",
            "identifier": "541299712",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV #",
            "identifier": "7013145",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.