Active NPI
Thomas R. Cheezum, O.D.
- Optometrist
- Norfolk, VA
National Provider Identifier
1932191327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000025
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000025 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas R. Cheezum, O.D., LTD | Optometrist | Current | Accepting new patients |
Locations
801 Volvo Pkwy
Ste 133
Chesapeake, VA 23320
Phone (757) 549-2225
Interoperability endpoints
- 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.
-
- Optometrist
- Chesapeake, VA
- NPI 1023201092
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.