Individual provider Active NPI

Nikki Magnuson, OD

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1831835289
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003225 Issued in VA
Practice address
1116 Volvo Pkwy Ste 102
Chesapeake, VA 23320-2803
Phone
(757) 426-2020
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003225 VA Primary
Optometrist 152W00000X OPC6233 FL
Optometrist 152W00000X 5541 MA

Addresses

Primary practice location

1116 Volvo Pkwy Ste 102
Chesapeake, VA 23320-2803

Mailing address

1116 Volvo Pkwy Ste 102
Chesapeake, VA 23320-2803
Phone (757) 426-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220720002621 MA Practitioner - Optometry 2668853730 Reassigns benefits to 1 organization
I20230706003910 FL Practitioner - Optometry 2668853730 Reassigns benefits to 1 organization
I20250212000090 VA Practitioner - Optometry 2668853730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearview Eye Care, Inc 7 clinicians

Practice addresses (Care Compare)

1116 Volvo Pkwy
Suite 102
Chesapeake, VA 23320-2803
Phone (757) 275-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5541MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jul 11, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jul 11, 2022 Accepting new patients
Clearview Eye Care, LLC Optometrist CurrentSince Nov 22, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

524 Canal St
New Smyrna Beach, FL 32168
Phone (386) 423-5190

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

27 Memorial Pkwy
Randolph, MA 02368
Phone (617) 986-7400

1116 Volvo Pkwy
Ste 102
Chesapeake, VA 23320
Phone (757) 275-9090

2051 Sun Harbour Ave
Ste 110
Suffolk, VA 23435

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

2077 Lynnhaven Pkwy
Ste 101
Virginia Beach, VA 23456

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1831835289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 VOLVO PKWY STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202803",
            "telephone_number": "757-426-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 VOLVO PKWY STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202803",
            "telephone_number": "757-426-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "NIKKI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003225",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6233",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.