Peter V Mitrev, M.D.

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

0101222101 Issued in VA

Practice address

1503 N Road St
Elizabeth City, NC 27909-3243

Phone

(252) 335-5446

Fax

(252) 335-4153

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

90.66 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

68.85

Merit-based Incentive Payment System (MIPS)

Final score

91.91 of 100Reported as group

Quality

100

Improvement activities

40

Cost

73.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chesapeake Eye Physicians, PLC

  • Ophthalmology Physician
  • Chesapeake, VA
  • NPI 1831288257
  Medicare reassignment NPD
• Albemarle Eye Center, PLLC

  • Ophthalmology Physician
  • Chesapeake, VA
  • NPI 1083232854
  Medicare reassignment
• Albemarle Eye Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Washington, NC
  • NPI 1336432301
  NPD (past)
• Virginia Ophthalmology Associates

  • Eyewear Supplier
  • Norfolk, VA
  • NPI 1497812580
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1902859374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093243",
            "telephone_number": "252-335-5446",
            "fax_number": "757-461-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093243",
            "telephone_number": "252-335-5446",
            "fax_number": "252-335-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Kempsville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203603",
            "country_code": "US",
            "telephone_number": "757-908-2165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Kempsville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203603",
            "country_code": "US",
            "telephone_number": "252-335-5446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Kempsville Rd Bldg Ste 101",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023800",
            "country_code": "US",
            "telephone_number": "757-461-1444",
            "fax_number": "252-334-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITREV",
        "first_name": "PETER",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101222101",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101222101",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NC",
            "license": "2005-01046",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "VA",
            "license": "0101222101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Makers Inc
• Ananya Mishra, MD
• Betsy Sue Kirkpatrick Mitcham, NP
• Demetria Mitchell
• Valerie Mitchell, M.S. CCC-SLP
• Christy Mode, RBT
• Heidi Mollenkopf, MSW, LCSWA
• Monarch
• Monarch
• Alfred M Moncla, MD

• Glaucoma Specialist (Ophthalmology) Physician in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Glaucoma Specialist (Ophthalmology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.