HAMPTON ROADS RETINA CENTER (NPI# 1659483022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659483022 |
| Entity Type | Organization |
| Organization Name | HAMPTON ROADS RETINA CENTER |
| Practice Address |
516 Innovation Dr Suite 101 Chesapeake VA 23320-3866 |
| Practice Telephone | 7574360011 |
| Practice Fax Number | 7574360075 |
| Mailing Telephone | 7574360011 |
| Mailing Fax Number | 7574360075 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | DR. JON M ADLEBERG (PRESIDENT) |
| Authorized Official Telephone | 7574360011 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101056722 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | 0005088230 | 01 |
| NC | CIGNA MEDICARE | 2248749C | 01 |
| VA | 006309895 | 05 | |
| VA | ANTHEM BCBS | 461049 | 01 |
| VA | OPTIMA/SENTARA | 56198 | 01 |
| Street Address |
516 INNOVATION DR SUITE 101 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981246 | Jon Michael Adleberg | Specialist | 516 Innovation Dr, Ste 101, Chesapeake, VA 23320-3866 | 2005-06-13 |
| 1689876823 | Michelle Marie Paulsen | Family Medicine | 516 Innovation Dr, Suite 103, Chesapeake, VA 23320-3847 | 2007-06-01 |
| 1730214248 | Tidewater Family Medical Care, PC | Family Medicine | 516 Innovation Dr, Ste 103, Chesapeake, VA 23320-3847 | 2007-02-23 |
| 1245375898 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 516 Innovation Dr, 305, Chesapeake, VA 23320-3866 | 2007-02-21 |
| 1528091634 | Frank Joseph Piccioni | Family Medicine | 516 Innovation Dr, Suite 103, Chesapeake, VA 23320-3847 | 2006-07-09 |
| 1326015637 | Kimberly Harris | Nurse Practitioner | 516 Innovation Dr, Suite 305, Chesapeake, VA 23320-3866 | 2006-03-06 |
| 1407821291 | Rebecca M Ryder | Obstetrics & Gynecology | 516 Innovation Dr, Ste 305, Chesapeake, VA 23320-3866 | 2006-02-23 |
| 1366417271 | Linda Long | Obstetrics & Gynecology | 516 Innovation Dr, Ste 305, Chesapeake, VA 23320-3866 | 2006-02-22 |
| 1275514861 | Brinda Mayur Dixit | Internal Medicine | 516 Innovation Dr, Suite 204, Chesapeake, VA 23320-3866 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
| 1376822940 | Alan A Smith | Specialist | 549 Royal Grant Dr, Chesapeake, VA 23322 | 2011-08-12 |
| 1396057022 | Pulmonary Associates of Tidewater | Specialist | 100 Wimbledon Square, Chesapeake, VA 23320-4931 | 2010-07-10 |
| 1528264959 | Brinda Dixit Inc | Specialist | 516 Innovation Dr Ste 204, Chesapeake, VA 23320-3866 | 2007-06-22 |
| 1528263720 | Coastal Surgical Assistance, Inc. | Specialist | 1102 Waterstone Ct, Chesapeake, VA 23320-3307 | 2007-06-18 |
| 1215138508 | Osborne Orthopedic Group Inc. | Specialist | 1101 Executive Blvd Ste D, Chesapeake, VA 23320-3634 | 2007-05-31 |
| 1255452413 | Dr Paul J Kovalcik M.d. Ltd | Specialist | 3105 American Legion Rd, Suite A, Chesapeake, VA 23321-5654 | 2007-04-03 |
| 1114042785 | Shannon Clinite Almberg | Specialist | 1502 Bodine Ct, Chesapeake, VA 23322-1745 | 2007-03-20 |
| 1477560902 | Fred Harris Siegel | Specialist | 700 Battlefield Blvd N Ste A, Chesapeake, VA 23320-4952 | 2006-08-01 |
| 1114952587 | Stephanie Jones Marioneaux | Specialist | 1013 Eden N Way E, Chesapeake, VA 23320-2792 | 2006-07-12 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on HAMPTON ROADS RETINA CENTER.
| 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.