IRA LEDERMAN MD PC (NPI# 1528117801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528117801 |
| Entity Type | Organization |
| Organization Name | IRA LEDERMAN MD PC |
| Practice Address |
7312 Granby St Norfolk VA 23505-3442 |
| Practice Telephone | 7575835826 |
| Practice Fax Number | 7575882712 |
| Mailing Telephone | 7575835826 |
| Mailing Fax Number | 7575882712 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | PAM HOPKINS (BILLING ADMINISTRATOR) |
| Authorized Official Telephone | 7575835826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
0101016600 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BLUE CROSS PIN# | 188089 | 01 |
| BCBS | 188089 | 01 | |
| OPTIMA | 10003994 | 01 | |
| RAILROAD MEDICARE | GROUP DE8392 | 01 | |
| RAILROAD MEDICARE | P00319350 | 01 | |
| CAQH | 11392646 | 01 |
| Street Address |
7312 GRANBY ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750406971 | Verdi Eye Specialist | Technician/Technologist | 7312 Granby St, Norfolk, VA 23505-3442 | 2007-03-20 |
| 1992829410 | Lee Pierce | Technician/Technologist | 7312 Granby St, Norfolk, VA 23505-3442 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962530097 | Emerging Vision | Technician/Technologist | 440 Spotsylvania Mall, Fredericksburg, VA 22407 | 2007-03-01 |
| 1376935072 | My Hong Diep | Technician/Technologist | 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044-2102 | 2015-03-04 |
| 1962894667 | Fernando Guzman | Technician/Technologist | 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044-2102 | 2015-03-04 |
| 1275925976 | Amal Hakawati | Technician/Technologist | 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044-2102 | 2015-03-04 |
| 1295127991 | Nathalie Munoz | Technician/Technologist | 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044-2102 | 2015-03-04 |
| 1942692645 | Melissa Mata | Technician/Technologist | 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044-2102 | 2015-03-04 |
| 1376722249 | Eye Associates of Virginia | Technician/Technologist | 5875 Bremo Rd, Suite 209, Richmond, VA 23226-1934 | 2007-10-29 |
| 1376551119 | Lawrence Howard Bauer | Technician/Technologist | 4680 King St, Alexandria, VA 22302-1215 | 2006-08-04 |
Please comment or provide details below to improve the information on IRA LEDERMAN MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.