Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124017363 Deactivated / Inactive NPI Male Practitioner

Dr. Russell Nmn Meyer , MD

Specialist • Virginia Beach, VA

⚠️

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. Russell Meyer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2005
NPI Deactivation Date October 28, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Russell Meyer, MD was a registered Specialist practicing in Virginia Beach, VA. Throughout an active medical career spanning 14 years, Dr. Meyer provided care at the practice location at 813 INDEPENDENCE BLVD until profile deactivation on 2019-10-28.

Practice Location & Contact Primary Location

Practice Address

813 Independence Blvd

Virginia Beach, VA 234556004

Telephone 7574909091
Fax 7574903250
Associated Practice Facility / Clinic
🏢 The Eye Specialists Ltd Facility NPI 1720179104

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.8 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Virginia Beach, VA (878 Statewide)

Telehealth Adoption Rate
3.8% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101022126

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1164411310
NPI 1588040695

Doctor of Optometry

NPI 1922097179

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 28, 2019

Record deactivated on October 28, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 813 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 234556004 (Tel: 7574909091)

📍
Updated Business Mailing Address July 08, 2007

Registered at 813 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 234556004 (Tel: 7574909091)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RUSSELL MEYER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #0101022126 in VA)

🟢
Initial NPI Registration & Enumeration October 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Russell Meyer. Be the first to share your experience!

Sign in to leave a review for Dr. Russell Meyer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124017363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2005
Last Update: July 08, 2007
Deactivation Date: October 28, 2019

Mailing Address

813 Independence Blvd

Virginia Beach, VA 234556004

Phone: 7574909091

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.