NPIMap

Individual provider Active NPI

Mark Michael Fernandez, MD

  • Ophthalmology Physician
  • Norfolk, VA
National Provider Identifier
1881860013
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101251330 Issued in VA
Practice address
885 Kempsville Road, Suite 101
Virginia Ophthalmology Associates, PC
Norfolk, VA 23502
Phone
(757) 461-1444
NPI assigned
May 7, 2008
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 141993 NC
Ophthalmology Physician 207W00000X 0101251330 VA Primary

Addresses

Primary practice location

885 Kempsville Road, Suite 101
Virginia Ophthalmology Associates, PC
Norfolk, VA 23502

Mailing address

1133 Cambridge Cres
Norfolk, VA 23508-1221
Phone (520) 245-4733

Other identifiers 3

IdentifierTypeStateIssuer
0101251330OtherVAVIRGINIA MEDICAL LICENSE
141993OtherNORTH CAROLINA MEDICAL BOARD CERTIFICATE NUMBER
1881860013MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120814000674 VA Practitioner - Ophthalmology 0042488926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Ophthalmology Associates PCGroup PAC ID 1658344908, 6 clinicians

Practice addresses (Care Compare)

885 Kempsville Rd
Suite 101
Norfolk, VA 23502-3800
Phone (757) 461-1444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
141993NCMDOphthalmology Physician
0101251330VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Ophthalmology Associates, P.C. Ophthalmology CurrentSince Jul 16, 2012 Accepting new patients
Virginia Ophthalmology Associates PastSince Jul 16, 2012 Accepting new patients

Locations

885 Kempsville Rd
Ste 101
Norfolk, VA 23502
Phone (757) 461-1444

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 12

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1881860013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 CAMBRIDGE CRES",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081221",
            "telephone_number": "520-245-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE ROAD, SUITE 101",
            "address_2": "VIRGINIA OPHTHALMOLOGY ASSOCIATES, PC",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-461-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "141993",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101251330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAL LICENSE",
            "identifier": "0101251330",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD CERTIFICATE NUMBER",
            "identifier": "141993",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881860013",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.