Individual provider Active NPI

Amber Teten, O.D.

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1861872319
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002403 Issued in VA
Practice address
649 Cedar Rd Ste 101
Chesapeake, VA 23322-8315
Phone
(757) 529-6889
Fax
(757) 260-5533
NPI assigned
May 30, 2015
Last updated
May 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002403 VA Primary

Addresses

Primary practice location

649 Cedar Rd Ste 101
Chesapeake, VA 23322-8315

Mailing address

649 Cedar Rd Ste 101
Chesapeake, VA 23322-8315
Phone (757) 529-6889

Other practice location 1

2000 General Booth Blvd
Virginia Beach, VA 23454-5876
Phone (757) 426-2020

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
I20150803002525 VA Practitioner - Optometry 6800100900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Navigation Eye Care PLLCGroup PAC ID 7618358821, 2 clinicians

Practice addresses (Care Compare)

649 Cedar Rd
Suite 101
Chesapeake, VA 23322-8315
Phone (757) 529-6889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002403VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Navigation Eye Care PLLC Optometrist CurrentSince Jul 6, 2022 Accepting new patients
Hal W Breedlove OD PC Optometrist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1861872319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 CEDAR RD STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228315",
            "telephone_number": "757-529-6889",
            "fax_number": "757-260-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 CEDAR RD STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228315",
            "telephone_number": "757-529-6889",
            "fax_number": "757-260-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 General Booth Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545876",
            "country_code": "US",
            "telephone_number": "757-426-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETEN",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-30",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.