TLC THE LASER CENTER (NORTHEAST) INC. (NPI# 1033323886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033323886 |
| Entity Type | Organization |
| Organization Name | TLC THE LASER CENTER (NORTHEAST) INC. |
| Other Organization Name | TLC LASER EYE CENTERS RESTON |
| Practice Address |
10790 Parkridge Blvd Ste. 105 Reston VA 20191-4369 |
| Mailing Address |
16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 |
| Practice Telephone | 7038602000 |
| Mailing Telephone | 6365342300 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN L ANDREW (SECRETARY) |
| Authorized Official Telephone | 6365342300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TLC Laser Eye Centers Reston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508071788 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 1750 Tysons Blvd, Ste. 120, Mclean, VA 22102-4208 | 2007-05-11 |
| 1225243330 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 2810 City View Dr, Ste. 200, Madison, WI 53718-7941 | 2007-05-11 |
| 1487868295 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 200 Riverfront Blvd, Elmwood Park, NJ 07407-1033 | 2007-05-10 |
| 1861606907 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 400 5th Ave, Ste. 510, Waltham, MA 02451-8706 | 2007-05-09 |
| 1467665067 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 8415 Pulsar Pl, Ste. 120, Columbus, OH 43240-4032 | 2007-05-08 |
| 1386857449 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 2001 Rosebud Dr, Ste. A, Billings, MT 59102-6360 | 2007-05-07 |
| 1801001086 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 9445 S Mingo Rd, Ste. 120, Tulsa, OK 74133-5792 | 2007-05-11 |
| 1558576652 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 220 Westchester Ave, White Plains, NY 10604-2913 | 2007-05-11 |
| 1003021155 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 200 Garden City Plz, Ste. 130, Garden City, NY 11530-3301 | 2007-05-11 |
| 1477767135 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 11200 Rockville Pike, Ste. 150, Rockville, MD 20852-3154 | 2007-05-10 |
| Street Address |
10790 PARKRIDGE BLVD STE. 105 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-4369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1992312029 | Vital Care Endocrinology, LLC | Clinic/Center | 1830 Town Center Dr Ste 306, Reston, VA 20190-3217 | 2020-09-23 |
| 1467947853 | Acumen Behavioral Consulting, Inc. | Clinic/Center | 1800 Town Center Dr Ste 420, Reston, VA 20190-3240 | 2018-06-27 |
| 1790140903 | Rediclinic of Va, LLC | Clinic/Center | 2260a Hunters Woods Plz, Reston, VA 20191-2898 | 2015-12-15 |
| 1174860480 | Healthmso of Va LLC | Clinic/Center | 11335 Sunset Hills Rd, Reston, VA 20190-5205 | 2013-01-07 |
| 1447521513 | Reston Chiropractic, Inc. | Clinic/Center | 11715 Bowman Green Dr, Reston, VA 20190-3507 | 2012-01-22 |
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| 1912537440 | B's Integrated Clinic, Pllc | Clinic/Center | 501 Rison St Ste 100, Danville, VA 24541-2426 | 2020-01-23 |
| 1770122723 | Colonial Beach Health & Wellness Inc | Clinic/Center | 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 | 2019-12-21 |
| 1104461896 | Lung Specialists of Tidewater Pllc | Clinic/Center | 224 Avonlea Pointe, Chesapeake, VA 23322-4279 | 2019-11-17 |
| 1053952846 | Mediluxe | Clinic/Center | 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 | 2019-10-02 |
| 1720639503 | Javan Wellness Ballston LLC | Clinic/Center | 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 | 2019-09-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.