Individual provider Active NPI

Stephen Mark Enochs, O.D.

  • Optometrist
  • Suffolk, VA
National Provider Identifier
1902875792
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001031 Issued in VA
Practice address
3575 Bridge Rd Ste 19
Suffolk, VA 23435-1844
Phone
(757) 638-2015
Fax
(757) 638-2010
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001031 VA Primary

Addresses

Primary practice location

3575 Bridge Rd Ste 19
Suffolk, VA 23435-1844

Mailing address

3575 Bridge Rd Ste 19
Suffolk, VA 23435-1844
Phone (757) 638-2015

Other identifiers 3

IdentifierTypeStateIssuer
010419042MedicaidVA
58739OtherVAOPTIMA HEALTH
294202OtherVAVA BCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address markenochs@enochseyecare.eyefinity-direct.com
Direct Messaging Address markenochs@enochseyeare.eyefinity-direct.com

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
I20060317000244 VA Practitioner - Optometry 7416964382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enochs Eye Care PLLCGroup PAC ID 0941202782, 3 clinicians

Practice addresses (Care Compare)

3575 Bridge Rd
Suite 19
Suffolk, VA 23435-1844
Phone (757) 638-2015

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as individual
Quality
72.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enochs Eye Care PLLC Optometrist CurrentSince Oct 1, 2006 Accepting new patients
Virginia Eye Consultants Inc Optometrist CurrentSince Apr 27, 2009 Accepting new patients
Virginia Medical Eye Center Past Accepting new patients
Douglas M Rampona MD PC Optometrist PastSince Jan 1, 2013 Accepting new patients
Dr. James V. Cornetta LTD Optometrist PastSince Dec 21, 1998 Accepting new patients

Locations

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

3575 Bridge Rd
Ste 19
Suffolk, VA 23435
Phone (757) 638-2015

2463 Pruden Blvd
Suffolk, VA 23434
Phone (757) 742-3902

3575 Bridge Rd
Ste 21
Suffolk, VA 23435
Phone (757) 638-2015

Interoperability endpoints

  • Direct secure messaging: markenochs@enochseyecare.eyefinity-direct.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1902875792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 BRIDGE RD STE 19",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351844",
            "telephone_number": "757-638-2015",
            "fax_number": "757-638-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 BRIDGE RD STE 19",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351844",
            "telephone_number": "757-638-2015",
            "fax_number": "757-638-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOCHS",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010419042",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "58739",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BCBS",
            "identifier": "294202",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markenochs@enochseyecare.eyefinity-direct.com",
            "affiliation": "N",
            "endpointDescription": "Secure Message Portal",
            "address_1": "3575 Bridge Rd Ste 19",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234351844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markenochs@enochseyeare.eyefinity-direct.com",
            "affiliation": "N",
            "endpointDescription": "Secure Provider Portal",
            "address_1": "3575 Bridge Rd Ste 19",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234351844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.