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Deactivated NPI 1720073869 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey Robertson , OD

Optometrist • Hampton, 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. Jeffrey Robertson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Robertson, OD was a registered Optometrist practicing in Hampton, VA. Throughout an active medical career spanning 1 years, Dr. Robertson provided care at the practice location at 115 COLISEUM XING SPC 58 until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

115 Coliseum Xing Spc 58

Hampton, VA 236665971

Telephone 7577516236
Fax 7578381840
Associated Practice Facility / Clinic
🏢 National Vision, Inc. Facility NPI 1659724201

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Hampton, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
27 Specialists

Practicing in Hampton, VA (1522 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

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618000334

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9204300 (VA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1366928046

Doctor of Optometry

Yash Dave

Optometrist

NPI 1417521287
NPI 1831627900

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location August 21, 2016

Registered at 115 COLISEUM XING SPC 58, HAMPTON, VA 236665971 (Tel: 7577516236)

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Updated Business Mailing Address August 21, 2016

Registered at 102 WINTERVIEW DR, SUFFOLK, VA 234347669 (Tel: 7575390615)

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Provider Name / Credentials Updated August 21, 2016

Recorded as JEFFREY ROBERTSON, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2016

Optometrist (License #0618000334 in VA)

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NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration September 14, 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: 1720073869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: August 21, 2016
Deactivation Date: March 23, 2006
Sole Proprietor: Yes

Mailing Address

102 Winterview Dr

Suffolk, VA 234347669

Phone: 7575390615

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.