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SOUTHSIDE EYE CARE PLLC
NPI 1992794325
Optometrist in Chesapeake, VA

Active since October 18, 2005CLIA 49D2054786 · Waiver
3206 CHURCHLAND BLVD, CHESAPEAKE, VA 23321(757) 484-0101(757) 484-0515 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southside Eye Care Pllc NPPES

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

SOUTHSIDE EYE CARE PLLC (NPI 1992794325) is a healthcare organization registered as an optometrist in Chesapeake, Virginia and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Michael R Keverline, Owner, as its authorized official.

NPPES Registry Identity

NPI1992794325
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTHSIDE EYE CARE PLLC
Location Address3206 CHURCHLAND BLVDChesapeake, VA 23321-5206
Mailing Address3206 Churchland BlvdChesapeake, VA 23321-5206 · (757) 484-0101 · Fax (757) 484-0515
Phone(757) 484-0101
Fax(757) 484-0515
Organization SubpartNo
Authorized OfficialMichael R KeverlineOwner · (757) 484-0101
Enumeration DateOctober 18, 2005
Last NPPES UpdateJune 15, 2015
✔ NPI 1992794325 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 · 0618000583
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.

3206 CHURCHLAND BLVD, Chesapeake, VA 23321
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Other Identifiers 2

Medicare PINC02405
Medicaid89015TYNC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 49D2054786

Southside Eye Care · Chesapeake, VA
Active · expires Feb 26, 2027
CLIA Number49D2054786
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorMichael Keverline
Laboratory Phone(757) 484-0101
Laboratory LocationSouthside Eye Care3206 Churchland Road, Chesapeake, VA 23321
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL RAYMOND KEVERLINE MD
Ophthalmology
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-0101
MR. THEODORE M HALLBERG OD
Optometrist
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-0101
DR. ROBERT E BAKER MD
Ophthalmology
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-0101
OPTICAL SHOPPE PLLC
Eyewear Supplier
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-0303

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 Southside Eye Care PLLC's NPI number?

The NPI number for Southside Eye Care PLLC is 1992794325. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Southside Eye Care PLLC located?

Southside Eye Care PLLC is located at 3206 Churchland Blvd, Chesapeake, VA 23321. The listed phone number is (757) 484-0101.

What is Southside Eye Care PLLC's specialty?

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

Does Southside Eye Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2054786) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southside Eye Care PLLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Southside Eye Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southside Eye Care PLLC was last updated on June 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.