MID ATLANTIC OPTICAL LLC
NPI 1235594524
Optometrist in Norfolk, VA

NPI Status: Active since December 31, 2015

Contact Information

6161 KEMPSVILLE CIR
STE. 130
NORFOLK, VA
ZIP 23502
Phone: (757) 455-5130
Fax: (757) 466-7616

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  • Organization
  • Optometrist
  • CLIA Number: 49D2079294
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-12-2026

About MID ATLANTIC OPTICAL LLC

This page provides the complete NPI Profile along with additional information for Mid Atlantic Optical Llc, a provider established in Norfolk, Virginia operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1235594524 assigned on December 2015. The practitioner's primary taxonomy code is 152W00000X with license number 0618001314 (VA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Rose Waller (Practice Manager)

NPI
1235594524
Provider Name
MID ATLANTIC OPTICAL LLC
Entity Type
Organization
Location Address
6161 KEMPSVILLE CIR STE. 130 NORFOLK, VA 23502
Location Phone
(757) 455-5130
Location Fax
(757) 466-7616
Mailing Address
109 WIMBLEDON SQ STE.E CHESAPEAKE, VA 23320
Mailing Phone
(757) 547-9830
Mailing Fax
(757) 466-7616
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-31-2015
Last Update Date
12-31-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
0618001314
License State
VA
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSE WALLER

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(757) 547-9830

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2079294
Facility Type
Physician Office
Certificate Effective Date
June 13, 2024
Certificate Expiration Date
June 12, 2026
Laboratory Director
FREDRIC J. GROSS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mid Atlantic Optical Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MID ATLANTIC OPTICAL LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235594524
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265109854
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 0 + 9 + 8 + 5 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1235594524 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124023262DR. MARK JOSEPH MCCARTHY M.D.
Individual
Specialist6161 KEMPSVILLE CIR SUITE 215
NORFOLK, VA 23502
(757) 455-9603
1528067790 ANNE D REDDING M.D.
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1952300121 MARIE T HOLLAND M.D.
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1396744561DR. ROBERT J LANOUE JR. M.D.
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1144229360DR. MARCUS C RICE M.D.
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1073512281DR. ARMISTEAD D. WILLIAMS M.D.
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1225037484 MARY ALLISON BOWLES M.D.
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1720088594 FIRAS BEITINJANEH M.D.
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1417921305 JONATHAN MILLER MD
Individual
Internal Medicine6161 KEMPSVILLE CIR SUITE 225
NORFOLK, VA 23502
(757) 455-6368
1639129687 FRANK J BATES PT
Individual
Physical Therapist6161 KEMPSVILLE CIR SUITE 250
NORFOLK, VA 23502
(757) 965-4890
1316982796NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC
Organization
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1184647463MR. JOHN KENNETH DUPEROCK MS PT
Individual
Physical Therapist6161 KEMPSVILLE CIR
NORFOLK, VA 23502
(757) 893-9210
1316017999 LINA WANG MD
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1619043551NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC
Organization
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1669529053VIRGINIA MEDICAL SPECIALISTS, PLC
Organization
Internal Medicine (Infectious Disease)6161 KEMPSVILLE CIR SUITE 220
NORFOLK, VA 23502
(757) 455-9036
1245356419DR. HARITHA NARLA M.D.
Individual
Internal Medicine (Rheumatology)6161 KEMPSVILLE CIR STE 225
NORFOLK, VA 23502
(757) 455-6368
1801011598 PRASHANT BARAKOTI MD
Individual
Internal Medicine6161 KEMPSVILLE CIR STE 225
NORFOLK, VA 23502
(757) 455-6368
1639361033 CARMEN ROXANA FUENTES MD
Individual
Psychiatry & Neurology (Neurology)6161 KEMPSVILLE CIR SUITE 315
NORFOLK, VA 23502
(757) 461-5400
1316119332BON SECOURS DEPAUL MEDICAL CENTER
Organization
Internal Medicine6161 KEMPSVILLE CIR SUITE 335
NORFOLK, VA 23502
(757) 466-5027
1144481995 LEAH BETH CARTER DPT
Individual
Physical Therapist6161 KEMPSVILLE CIR STE 250
NORFOLK, VA 23502
(757) 893-9210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235594524, enumerated in the NPI registry as an "organization" on December 31, 2015

The provider is located at 6161 Kempsville Cir Ste. 130 Norfolk, Va 23502 and the phone number is (757) 455-5130

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider's CLIA number is 49D2079294 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 31, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.