1801976055 NPI number — NORTHERN VIRGINIA DOCTORS OF OPTOMETRY

Table of content: (NPI 1801976055)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801976055 NPI number — NORTHERN VIRGINIA DOCTORS OF OPTOMETRY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHERN VIRGINIA DOCTORS OF OPTOMETRY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801976055
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7263E ARLINGTON BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FALLS CHURCH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22042-3219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-573-1200
Provider Business Mailing Address Fax Number:
703-573-1250

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7263E ARLINGTON BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALLS CHURCH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22042-3219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-573-1200
Provider Business Practice Location Address Fax Number:
703-573-1250
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SNYDER
Authorized Official First Name:
HARRY
Authorized Official Middle Name:
N
Authorized Official Title or Position:
MANAGING PARTNER
Authorized Official Telephone Number:
703-573-1200

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  0618 000520 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9314 . This is a "BCBS GROUP IDENTIFEIR" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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