Organization Active NPI

P a R Eyecare PLLC

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1932864469
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
P A R EYECARE PLLC
Practice address
1412 Greenbrier Pkwy Ste 108a
Chesapeake, VA 23320-2832
Phone
(717) 451-4005
NPI assigned
Oct 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Kelly Swartz
Title
Revenue Cycle Manager
Phone
(717) 659-7495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1412 Greenbrier Pkwy Ste 108a
Chesapeake, VA 23320-2832

Mailing address

1412 Greenbrier Pkwy Ste 108a
Chesapeake, VA 23320-2832
Phone (717) 451-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220113000908 VA Part B Supplier - Clinic/Group Practice 2860884384 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1932864469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 GREENBRIER PKWY STE 108A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202832",
            "telephone_number": "717-451-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 GREENBRIER PKWY STE 108A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202832",
            "telephone_number": "717-451-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P A R EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-31",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "717-659-7495"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.