Individual provider Active NPI

Thomas R. Cheezum, O.D.

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1932191327
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000025 Issued in VA
Practice address
549 E. Brambleton Ave
Jencare Neighborhood Medical Norfolk, LLC
Norfolk, VA 23510
Phone
(757) 533-9441
Fax
(757) 282-7600
NPI assigned
Aug 22, 2005
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000025 VA Primary

Addresses

Primary practice location

549 E. Brambleton Ave
Jencare Neighborhood Medical Norfolk, LLC
Norfolk, VA 23510

Mailing address

549 E. Brambleton Ave
Jencare Neighborhood Medical Norfolk, LLC
Norfolk, VA 23510
Phone (757) 533-9441

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
I20060113000838 VA Practitioner - Optometry 1355365560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000025VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas R. Cheezum, O.D., LTD Optometrist CurrentSince Jan 20, 1995 Accepting new patients

Locations

801 Volvo Pkwy
Ste 133
Chesapeake, VA 23320
Phone (757) 549-2225

Interoperability endpoints

  • Direct secure messaging: thomas.cheezum.p1@direct.vec.nextgenshare.com

Organizations & group practices 1

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1932191327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E. BRAMBLETON AVE",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL NORFOLK, LLC",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-533-9441",
            "fax_number": "757-282-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E. BRAMBLETON AVE",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL NORFOLK, LLC",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-533-9441",
            "fax_number": "757-282-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEZUM",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.