Erdal Bekir Adam, OD
Individual provider Active NPI Optometrist · Fishersville, VA
NPI 1861473050 · NPPES record last updated Mar 1, 2021
Key facts
- NPI
- 1861473050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618001414 (VA)
- Practice address
- 17 N Medical Park Dr
Fishersville, VA 22939-2344 - Phone
- (540) 213-7720
- Fax
- (540) 213-7729
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eyeone PLC
Practice addresses (Care Compare)
1500 Commerce Rd
Staunton, VA 24401-9032
Phone (540) 213-7720
Hospital & facility affiliations
- Augusta Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050124000263 | VA | Practitioner - Optometry | 7012967557 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001414 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPG LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001414 | VA | Yes |
Addresses
Primary practice location
17 N Medical Park Dr
Fishersville, VA 22939-2344
Mailing address
17 N Medical Park Dr
Fishersville, VA 22939-2344
Phone (540) 213-7720
Other practice location 1
1412 N Augusta St
Staunton, VA 24401-2401
Phone (540) 885-0006
Other practice location 2
204 Ambriar Plaza
Amherst, VA 24521
Phone (434) 385-5600
Other practice location 3
1825 Graves Mill Rd
Forest, VA 24551-3967
Phone (434) 385-5600
Other practice location 4
2108 Langhorne Rd
Lynchburg, VA 24501-1424
Phone (434) 385-5600
Other practice location 5
1450 Sachem Pl
Charlottesville, VA 22901-2554
Phone (434) 978-4090
Other practice location 6
356 Front Street
Lovingston, VA 22949
Phone (434) 385-5600
Other practice location 7
1500 Commerce Rd
Staunton, VA 24401-9032
Phone (540) 213-7720
Other practice location 8
425 S Linden Ave
Waynesboro, VA 22980-3505
Phone (540) 213-7720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010116929 | Medicaid | VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erdal.adam.p1@direct.eyeone.nextgenshare.com | Health Information Exchange (HIE) | Eye One, PLC |
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.