OPTICAL SHOPPE PLLC (NPI# 1487660221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487660221 |
| Entity Type | Organization |
| Organization Name | OPTICAL SHOPPE PLLC |
| Practice Address |
3206 Churchland Blvd Chesapeake VA 23321-5206 |
| Practice Telephone | 7574840303 |
| Practice Fax Number | 7574840515 |
| Mailing Telephone | 7574840303 |
| Mailing Fax Number | 7574840515 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | MRS. NICOLE HAWLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 7574840101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 6005389 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 248303 | 01 |
| VA | 010080371 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Optical Shoppe PLLC | 3206 Churchland Blvd, Chesapeake, Virginia 23321 |
| Street Address |
3206 CHURCHLAND BLVD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401612 | Michael Raymond Keverline | Ophthalmology | 3206 Churchland Blvd, Chesapeake, VA 23321-5206 | 2005-07-15 |
| 1255772851 | Erin Savage | Optometrist | 3206 Churchland Blvd, Chesapeake, VA 23321 | 2013-07-11 |
| 1992794325 | Southside Eye Care Pllc | Optometrist | 3206 Churchland Blvd, Chesapeake, VA 23321-5206 | 2005-10-18 |
| 1144220575 | Robert E Baker | Ophthalmology | 3206 Churchland Blvd, Chesapeake, VA 23321-5206 | 2005-07-28 |
| 1255331757 | Theodore M Hallberg | Optometrist | 3206 Churchland Blvd, Chesapeake, VA 23321-5206 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982758025 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1401 Greenbrier Pkwy Ste 2112, Chesapeake, VA 23320 | 2007-01-23 |
| 1336298769 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4200 Portesmouth Bvd, Chesapeake Square Mall, Chesapeake, VA 23321-2100 | 2007-01-08 |
| 1528674652 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2301 Taylor Rd, Chesapeake, VA 23321-2219 | 2020-09-23 |
| 1194109645 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1316 Greenbrier Pkwy, Chesapeake, VA 23320-0605 | 2015-07-15 |
| 1851418263 | Medical & Surgical Eye Specialists Inc | Eyewear Supplier (Equipment, not the service) | 200 Medical Pkwy, Suite 209, Chesapeake, VA 23320-4911 | 2007-03-23 |
| 1427114388 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 1401 Greenbrier Pkwy, Chesapeake, VA 23320 | 2006-12-28 |
| 1316026271 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2301 Taylor Rd, Chesapeake, VA 23321 | 2006-11-03 |
| 1285730515 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 4200 Portsmouth Blvd, Chesapeake Square Mall Rm #720, Chesapeake, VA 23321-2100 | 2006-09-15 |
| 1912945411 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2448 Chesapeake Square Ring Rd, Chesapeake, VA 23321-2173 | 2006-06-04 |
| 1275571770 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1521 Sams Cir, Chesapeake, VA 23320-4694 | 2006-06-04 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on OPTICAL SHOPPE PLLC.
| 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.