ELLENY GUTIERREZ M.D. NPI 1104438324

NPI Information

  • NPI: 1104438324
  • Provider Name: ELLENY GUTIERREZ, M.D.
  • Classification: Ophthalmology - 207WX0009X
  • Specialization: Glaucoma Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1201 FIRST COLONIAL RD
    VIRGINIA BEACH, VA
    ZIP 23454
  • Phone: (757) 425-5550

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NPI Details

Elleny Gutierrez, M.D. is a glaucoma specialist ophthalmology in Virginia Beach, VA with 6 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Elleny Gutierrez, M.D. NPI is 1104438324. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2020

The provider's business location address is:

1201 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454-217
Phone: (757) 425-5550

The NPI 1104438324 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2020 and was last updated on 10/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program322663LOUISIANANo
2207WX0009XOphthalmologyGlaucoma Specialist0101285336VIRGINIAYes
3207W00000XOphthalmology83754-20WISCONSINNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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