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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | ANTHEM | 242315 | 01 |
VA | 006304869 | 05 |
Street Address |
160 KINGSLEY LN STE 300 |
City | NORFOLK |
State | VA |
Zip Code | 23505-4600 |
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 |
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 | 207WX0009X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Glaucoma Specialist |
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 |
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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.