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MID ATLANTIC OPTICAL LLC
NPI 1235594524
Optometrist in Norfolk, VA

Active since December 31, 2015CLIA Certified · 2 labs
6161 KEMPSVILLE CIR, STE. 130, NORFOLK, VA 23502(757) 455-5130(757) 466-7616 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid Atlantic Optical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID ATLANTIC OPTICAL LLC (NPI 1235594524) is a healthcare organization registered as an optometrist in Norfolk, Virginia and active in the NPI registry since December 2015. The organization holds 2 active CLIA laboratory certificates and lists Rose Waller, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1235594524
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMID ATLANTIC OPTICAL LLC
Location Address6161 KEMPSVILLE CIR, STE. 130Norfolk, VA 23502-3932
Mailing Address109 Wimbledon Sq, Ste.eChesapeake, VA 23320-4945 · (757) 547-9830 · Fax (757) 548-0721
Phone(757) 455-5130
Fax(757) 466-7616
Organization SubpartNo
Authorized OfficialRose WallerPractice Manager · (757) 547-9830
Enumeration DateDecember 31, 2015
✔ NPI 1235594524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618001314
Definition
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.
6161 KEMPSVILLE CIR, Norfolk, VA 23502
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2079294

Mid Atlantic Eyecare · Norfolk, VA
Active · expires Jun 12, 2028
CLIA Number49D2079294
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorFredric J. Gross
Laboratory Phone(757) 455-5130
Laboratory LocationMid Atlantic Eyecare6161 Kempsville Circle - Suite 130, Norfolk, VA 23502
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2087359

Mid-Atlantic Eyecare · Chesapeake, VA
Active · expires Nov 20, 2026
CLIA Number49D2087359
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorFredric J. Gross
Laboratory Phone(757) 455-5130
Laboratory LocationMid-Atlantic Eyecare109 Wimbledon Square - Suite E, Chesapeake, VA 23320
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARMISTEAD D. WILLIAMS M.D.
Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Norfolk City (757) 461-5400
SENTARA MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
6161 KEMPSVILLE CIR, SUITE 215
NORFOLK, VA 23502
Norfolk City (757) 466-3950
DR. MARK JOSEPH MCCARTHY M.D.
Specialist
6161 KEMPSVILLE CIR, SUITE 215
NORFOLK, VA 23502
Norfolk City (757) 455-9603
DR. MARCUS C RICE M.D.
Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Norfolk City (757) 461-5400
LEAH BETH CARTER DPT
Physical Therapist
6161 KEMPSVILLE CIR, STE 250
NORFOLK, VA 23502
Norfolk City (757) 893-9210
NORFOLK PLASTIC SURGERY, PC
Surgery (Plastic and Reconstructive Surgery)
6161 KEMPSVILLE CIR, SUITE 300
NORFOLK, VA 23502
Norfolk City (757) 466-1000
COASTAL PEDIATRIC DENTAL & ANESTHESIA, PLLC
Dentist (Dentist Anesthesiologist)
6161 KEMPSVILLE CIR, SUITE 345
NORFOLK, VA 23502
Norfolk City (602) 799-1748
MR. JOHN KENNETH DUPEROCK MS PT
Physical Therapist
6161 KEMPSVILLE CIR
NORFOLK, VA 23502
Norfolk City (757) 893-9210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid Atlantic Optical LLC's NPI number?

The NPI number for Mid Atlantic Optical LLC is 1235594524. It was assigned to this organization in the NPPES registry on December 31, 2015.

Where is Mid Atlantic Optical LLC located?

Mid Atlantic Optical LLC is located at 6161 Kempsville Cir Ste. 130, Norfolk, VA 23502. The listed phone number is (757) 455-5130.

What is Mid Atlantic Optical LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Mid Atlantic Optical LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mid Atlantic Optical LLC was last updated on December 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.