GLAUCOMA LASER CENTER PC


Address: 160 Kingsley Ln, Ste 300, Norfolk, VA 23505-4600
Phone: 7574401144

GLAUCOMA LASER CENTER PC (NPI# 1891791521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891791521
Entity Type Organization
Organization Name GLAUCOMA LASER CENTER PC
Practice Address 160 Kingsley Ln
Ste 300
Norfolk
VA 23505-4600
Practice Telephone 7574401144
Practice Fax Number 7574401117
Mailing Telephone (757) 440-1144
Mailing Fax Number 7574401117
Enumeration Date 2005-06-27
Last Update Date 2017-06-07
Authorized Official Name DR. DAWNIELLE J KERNER (PRESIDENT)
Authorized Official Telephone 7574401144
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
Y 207WX0009X Ophthalmology
Specialization: Glaucoma Specialist
0101052595 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 242315 01
VA 006304869 05

Office Location

Street Address 160 KINGSLEY LN
STE 300
City NORFOLK
State VA
Zip Code 23505-4600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861022840 Barbara Lenette Mccray Nurse Practitioner 160 Kingsley Ln, Norfolk, VA 23505-4600 2020-01-18
1245524776 Kamilla A Shall Physician Assistant 160 Kingsley Ln, Suite 400, Norfolk, VA 23505-4600 2011-06-01
1861728461 Minimally Invasive Surgery Center of Tidewater Surgery 160 Kingsley Ln, Suite 205, Norfolk, VA 23505-4600 2009-11-02
1548415672 Pedro D Hasas, Md, Plc Internal Medicine 160 Kingsley Ln, Suite# 205, Norfolk, VA 23505-4600 2008-11-17
1538378708 Sharpe and Associates, P.C. Dermatology 160 Kingsley Ln, 504 Depaul Atrium Bldg, Norfolk, VA 23505-4600 2007-05-22
1770613895 Vann-virginia Center for Orthopaedics PC Physical Therapist 160 Kingsley Ln, Suite 405, Norfolk, VA 23505 2007-03-07
1184725806 Virginia Annette Stewart Surgery 160 Kingsley Ln, Suite 400, Norfolk, VA 23505-4600 2006-09-26
1245330190 Gilda Niknezhad Nurse Practitioner 160 Kingsley Ln, Suite 106, Norfolk, VA 23505-4600 2006-09-22
1457451437 Carlos A. Silva Internal Medicine 160 Kingsley Ln, Suite 103, Norfolk, VA 23505-4600 2006-09-22
1679673685 Manuela M Delacruz Internal Medicine 160 Kingsley Ln, Suite 103, Norfolk, VA 23505-4600 2006-09-22
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207WX0009X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Glaucoma Specialist

Taxonomy Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org

Competitor

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City NORFOLK
Zip Code 23505

Improve Information

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Dataset Information

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.

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