NPIMap

Organization Active NPI

Medical & Surgical Eye Specialists Inc

  • Eyewear Supplier
  • Chesapeake, VA
National Provider Identifier
1851418263
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
7009955 Issued in VA
Legal business name
MEDICAL & SURGICAL EYE SPECIALISTS INC
Practice address
200 Medical Pkwy
Suite 209
Chesapeake, VA 23320-4911
Phone
(757) 547-9751
Fax
(757) 547-1876
NPI assigned
Mar 23, 2007
Organization subpart
Yes
Parent organization
MEDICAL & SURGICAL EYE SPECIALISTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Dr. Eric A Adams, MD
Title
Vice President
Phone
(757) 461-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 7009955 VA Primary

Addresses

Primary practice location

200 Medical Pkwy
Suite 209
Chesapeake, VA 23320-4911

Mailing address

6315 North Center Dr
BLDG 20 Suite 230
Norfolk, VA 23502-3931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930037982 VA DME Supplier - Physician - OptometristDME Supplier - Optician 0547291379 Practice locations: Chesapeake, VA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medical & Surgical Eye Specialists200 Medical Pkwy, Chesapeake, VA 23320-4911(757) 547-9751 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Medical Surgical Eye Speci4 organizations share this tax ID, including this one
Part of
Medical Surgical Eye Speci

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Medical Pkwy
Ste 209
Chesapeake, VA 23320
Phone (757) 547-9751

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1851418263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 NORTH CENTER DR",
            "address_2": "BLDG 20 SUITE 230",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY",
            "address_2": "SUITE 209",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204911",
            "telephone_number": "757-547-9751",
            "fax_number": "757-547-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & SURGICAL EYE SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL & SURGICAL EYE SPECIALISTS INC",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-461-7974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "7009955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.