Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1720083249 Deactivated / Inactive NPI Male Practitioner

Dr. Richard E Carlson , MD

Ophthalmology • Chesapeake, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Carlson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2005
NPI Deactivation Date July 09, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Carlson, MD was a registered Ophthalmology practicing in Chesapeake, VA. Throughout an active medical career spanning 14 years, Dr. Carlson provided care at the practice location at 109 WIMBLEDON SQ until profile deactivation on 2019-07-09.

Practice Location & Contact Primary Location

Practice Address

109 Wimbledon Sq
Ste E

Chesapeake, VA 233204945

Telephone 7575479830
Fax 7575480721
Associated Practice Facility / Clinic
🏢 Thomas W Montag Md Plc Facility NPI 1639193907

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Chesapeake, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.4 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Chesapeake, VA (619 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VA 0101022457

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1184629271

Doctor of Medicine (M.D.)

NPI 1427053149

Doctor of Medicine (M.D.)

Janel Fellner , PA

Physician Assistant - Medical

NPI 1548255185

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 09, 2019

Record deactivated on July 09, 2019

NPI Profile Active December 22, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2009

Registered at 109 WIMBLEDON SQ, STE E, CHESAPEAKE, VA 233204945 (Tel: 7575479830)

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Updated Business Mailing Address December 22, 2009

Registered at 109 WIMBLEDON SQ, STE E, CHESAPEAKE, VA 233204945 (Tel: 7575479830)

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Provider Name / Credentials Updated December 22, 2009

Recorded as RICHARD CARLSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2009

Ophthalmology (License #0101022457 in VA)

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Initial NPI Registration & Enumeration June 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720083249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2005
Last Update: December 22, 2009
Deactivation Date: July 09, 2019

Mailing Address

109 Wimbledon Sq, Ste E

Chesapeake, VA 233204945

Phone: 7575479830

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.