RICHARD E CARLSON (NPI# 1720083249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720083249 |
| Entity Type | Individual |
| Full Name | RICHARD E CARLSON |
| Credential | M.D. |
| Practice Address |
109 Wimbledon Sq Ste E Chesapeake VA 23320-4945 |
| Practice Telephone | 7575479830 |
| Practice Fax Number | 7575480721 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2009-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101022457 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6304991 | 05 | |
| VA | ANTHEM BC/BS | 262931 | 01 |
| VA | UNITED HEALTH CARE | 0800076 | 01 |
| NC | NC MEDICAID | 7905283 | 01 |
| VA | OPTIMA | 15655 | 01 |
| VA | RR MEDICARE | 180034034 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861837353 | Richard Thomas Carlson Jr. | Chiropractor | 610 5th Ave, Egg Harbor City, NJ 08215-4038 | 2013-05-09 |
| 1255670568 | Richard Merle Carlson | Occupational Therapist | 5245 North Socrum Loop Road, Lakeland, FL 33823 | 2013-02-06 |
| 1235282708 | Richard Michael Carlson | Chiropractor | 529 Cajon St, Redlands, CA 92373-5903 | 2007-01-19 |
| 1871658005 | Richard H Carlson | Dentist | 31 Long Wharf Mall, Newport, RI 02840-2906 | 2006-12-27 |
| 1043388259 | Richard D Carlson | Dentist | 11362 San Jose Blvd, Ste 7, Jacksonville, FL 32223-7960 | 2006-12-04 |
| 1689756959 | Richard G. Carlson | Dentist | 313 Nw 3rd St, Brainerd, MN 56401-3226 | 2006-10-19 |
| 1619989787 | Richard H Carlson | Optometrist | 2508 Fletcher Pkwy, El Cajon, CA 92020-2107 | 2006-08-13 |
| 1982699369 | Richard Carlson | Nurse Anesthetist, Certified Registered | 3615 5th St Ste 100, Rapid City, SD 57701 | 2005-09-13 |
| 1073515938 | Richard Scott Carlson | Optometrist | 502 Marquette St, Valparaiso, IN 46383-2509 | 2005-08-11 |
| 1538727904 | Richard Carlson | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2019-05-31 |
| Street Address |
109 WIMBLEDON SQ STE E |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629271 | Fredric Jay Gross | Ophthalmology | 109 Wimbledon Sq, Ste E, Chesapeake, VA 23320-4945 | 2005-06-16 |
| 1245520717 | Jk2c, LLC | Clinic/Center | 109 Wimbledon Sq, Unit H, Chesapeake, VA 23320-4945 | 2011-04-18 |
| 1023329364 | Angela Montejo | Physician Assistant | 109 Wimbledon Sq, Suite G1, Chesapeake, VA 23320-4945 | 2010-06-30 |
| 1043448723 | Ashley N Chieppa | Physician Assistant | 109 Wimbledon Sq, Suite E, Chesapeake, VA 23320-4945 | 2009-07-01 |
| 1326220831 | Colin Wade Eastwood | Chiropractor | 109 Wimbledon Sq, Suite D, Chesapeake, VA 23320-4945 | 2007-11-27 |
| 1588844930 | Thomas L. Mauser, Inc. | Internal Medicine | 109 Wimbledon Sq, Suite B, Chesapeake, VA 23320-4945 | 2007-11-13 |
| 1720267297 | Virginia Ellen Petree | Chiropractor | 109 Wimbledon Sq, Suite D, Chesapeake, VA 23320-4945 | 2007-10-31 |
| 1073605333 | Mid Atlantic Dermatology | Dermatology | 109 Wimbledon Sq, Suite E, Chesapeake, VA 23320-4945 | 2006-09-28 |
| 1013008861 | Ophthalmic Consultants of Tidewater PC | Ophthalmology | 109 Wimbledon Sq, Suite E, Chesapeake, VA 23320-4945 | 2006-09-27 |
| 1639193907 | Thomas W Montag Md Plc | Obstetrics & Gynecology | 109 Wimbledon Sq, Suite F, Chesapeake, VA 23320-4945 | 2006-07-27 |
| Find all providers in the same location | ||||
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232854 | Albemarle Eye Center, Pllc | Ophthalmology | 560 Kempsville Rd Ste 100, Chesapeake, VA 23320-3603 | 2020-07-08 |
| 1831528652 | Teresa A Shenouda Md Pllc | Ophthalmology | 1108 Cedar Rd, Chesapeake, VA 23322-7102 | 2013-11-02 |
| 1598044091 | Stephanie Morione Aux Md PC | Ophthalmology | 1013 Eden Way North, Suite D & E, Chesapeake, VA 23320-2792 | 2011-08-15 |
| 1619149945 | Mitrev Eye Center, PC | Ophthalmology | 516 Innovation Drive, Suite 102, Chesapeake, VA 23320-4988 | 2008-03-27 |
| 1235198680 | Richard Thomas Griffey | Ophthalmology | 508 Baylor Ct, Ste C, Chesapeake, VA 23320-3680 | 2006-03-22 |
| 1457310401 | Leland D Whitelock | Ophthalmology | 560 Kempsville Rd, Suite 100, Chesapeake, VA 23320-3621 | 2006-03-20 |
| 1962401612 | Michael Raymond Keverline | Ophthalmology | 3206 Churchland Blvd, Chesapeake, VA 23321-5206 | 2005-07-15 |
| 1184629271 | Fredric Jay Gross | Ophthalmology | 109 Wimbledon Sq, Ste E, Chesapeake, VA 23320-4945 | 2005-06-16 |
| 1831288257 | Chesapeake Eye Physicians, Plc | Ophthalmology | 560 Kempsville Rd, Suite 100, Chesapeake, VA 23320-3621 | 2006-10-12 |
| 1013008861 | Ophthalmic Consultants of Tidewater PC | Ophthalmology | 109 Wimbledon Sq, Suite E, Chesapeake, VA 23320-4945 | 2006-09-27 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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| 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.