Organization Active NPI

Elizabeth M Borza OD Inc

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1942550231
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002034 Issued in VA
Legal business name
ELIZABETH M BORZA OD INC
Practice address
2201 Upton Dr
902
Virginia Beach, VA 23454-1292
Phone
(757) 430-2863
Fax
(757) 430-2865
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Elizabeth Borza, OD
Title
Owner
Phone
(757) 430-2863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618002034 VA Primary

Addresses

Primary practice location

2201 Upton Dr
902
Virginia Beach, VA 23454-1292

Mailing address

2201 Upton Dr
902
Virginia Beach, VA 23454-1292
Phone (757) 430-2863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000240 VA Part B Supplier - Clinic/Group Practice 1456505148 Receives reassigned benefits from 3 practitioners
Practice locations: Virginia Beach, VA; Norfolk, VA

National Provider Directory

National Provider Directory

Locations

2201 Upton Dr
Virginia Beach, VA 23454

Practitioners & affiliated clinicians

Practitioners 3

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": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1942550231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 UPTON DR",
            "address_2": "902",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541292",
            "telephone_number": "757-430-2863",
            "fax_number": "757-430-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 UPTON DR",
            "address_2": "902",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541292",
            "telephone_number": "757-430-2863",
            "fax_number": "757-430-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH M BORZA OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "BORZA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-430-2863",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.