NPIMap

Organization Active NPI

Dr. Kenneth a Lebow

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1861694291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601000666 Issued in PA
Legal business name
DR. KENNETH A LEBOW
Practice address
345 Edwin Dr
Virginia Beach, VA 23462-4522
Phone
(757) 630-4502
Fax
(757) 499-2636
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan Lebow
Title
Office Manager
Phone
(757) 630-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0601000666 PA Primary

Addresses

Primary practice location

345 Edwin Dr
Virginia Beach, VA 23462-4522

Mailing address

345 Edwin Dr
Virginia Beach, VA 23462-4522
Phone (757) 497-5555

National Provider Directory

National Provider Directory

Locations

345 Edwin Dr
Virginia Beach, VA 23462
Phone (757) 497-5555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861694291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 EDWIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624522",
            "telephone_number": "757-497-5555",
            "fax_number": "757-499-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 EDWIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624522",
            "telephone_number": "757-630-4502",
            "fax_number": "757-499-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KENNETH A LEBOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEBOW",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-630-4502"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0601000666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.