Individual provider Active NPI

Erdal Bekir Adam, OD

  • Optometrist
  • Fishersville, VA
National Provider Identifier
1861473050
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001414 Issued in 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
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001414 VA Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erdal.adam.p1@direct.eyeone.nextgenshare.com Health Information Exchange (HIE) Eye One, PLC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000263 VA Practitioner - Optometry 7012967557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyeone PLCGroup PAC ID 7416917554, 13 clinicians

Practice addresses (Care Compare)

1500 Commerce Rd
Staunton, VA 24401-9032
Phone (540) 213-7720

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MPG LLC Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erdal.adam.p1@direct.eyeone.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1861473050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392344",
            "telephone_number": "540-213-7720",
            "fax_number": "540-213-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392344",
            "telephone_number": "540-213-7720",
            "fax_number": "540-213-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 N Augusta St",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "244012401",
            "country_code": "US",
            "telephone_number": "540-885-0006",
            "fax_number": "540-885-5276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Ambriar Plaza",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "VA",
            "postal_code": "24521",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Graves Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245513967",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 Langhorne Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011424",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Sachem Pl",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229012554",
            "country_code": "US",
            "telephone_number": "434-978-4090",
            "fax_number": "434-978-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "356 Front Street",
            "address_purpose": "LOCATION",
            "city": "Lovingston",
            "state": "VA",
            "postal_code": "22949",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Commerce Rd",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "244019032",
            "country_code": "US",
            "telephone_number": "540-213-7720",
            "fax_number": "540-213-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 S Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229803505",
            "country_code": "US",
            "telephone_number": "540-213-7720",
            "fax_number": "540-949-0545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAM",
        "first_name": "ERDAL",
        "middle_name": "BEKIR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erdal.adam.p1@direct.eyeone.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Eye One, PLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17 N Medical Park Dr",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.