NORTHERN VIRGINIA VISION CENTER, INC. (NPI# 1184813172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184813172 |
| Entity Type | Organization |
| Organization Name | NORTHERN VIRGINIA VISION CENTER, INC. |
| Other Organization Name | THE EYE CENTER |
| Practice Address |
8316 Arlington Blvd Suite 235 Fairfax VA 22031-5207 |
| Practice Telephone | 7035738080 |
| Practice Fax Number | 7035732929 |
| Mailing Telephone | 7035738080 |
| Mailing Fax Number | 7035732929 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | DR. AYMAN BOUTROS (PRESIDENT) |
| Authorized Official Telephone | 7035738080 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101043806 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 9639000 | 05 | |
| WV | 95149000 | 05 |
| Other Name | Type Code |
|---|---|
| The Eye Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710069950 | Northern Virginia Vision Center, Inc. | Ophthalmology | 21475 Ridgetop Circle, Suite 300, Sterling, VA 20166-6580 | 2006-10-19 |
| Street Address |
8316 ARLINGTON BLVD SUITE 235 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744355 | Jennifer Ann Quintanilla | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2005-07-20 |
| 1275179137 | Amelia Ellen Pitha | Nurse Practitioner | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2019-11-25 |
| 1508367517 | Eric Scarton | Physical Therapy Assistant | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2018-02-24 |
| 1073986568 | Fairfaxdentalgroup | Dentist | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2015-11-05 |
| 1093194300 | Mira Wahba | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2015-05-20 |
| 1568840957 | Alliance Rehab and Physical Therapy LLC | Physical Therapist | 8316 Arlington Blvd, #600, Fairfax, VA 22031-5207 | 2015-05-18 |
| 1861889008 | Loudoun Medical Group PC | Ophthalmology | 8316 Arlington Blvd, Suite 235, Fairfax, VA 22031-5207 | 2015-04-24 |
| 1023405297 | Bluemont Plastic Surgery, PC | Otolaryngology | 8316 Arlington Blvd, Ste 410, Fairfax, VA 22031-5207 | 2015-04-24 |
| 1649517830 | Megan Goetz | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2013-01-09 |
| 1104188978 | Kazumi Keener | Occupational Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649619305 | Northern Virginia Eye Physicians, PC | Ophthalmology | 10721 Main St Ste 3200, Fairfax, VA 22030-6906 | 2013-06-17 |
| 1205024692 | Fairfax Eye Center, PC | Ophthalmology | 3650 Joseph Siewick Dr Ste 303, Fairfax, VA 22033-1714 | 2007-10-10 |
| 1689894578 | Prema Modak | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2007-04-26 |
| 1376766816 | John Phillip Essepian IIi | Ophthalmology | 3031 Javier Rd Ste 300, Fairfax, VA 22031-4638 | 2007-04-11 |
| 1750427555 | John Robert Minarcik Jr. | Ophthalmology | 8505 Arlington Blvd Ste 300, Fairfax, VA 22031-4630 | 2007-01-29 |
| 1881663102 | Fairfax Eye Associates Inc | Ophthalmology | 9936 Main St, Fairfax, VA 22031 | 2006-03-17 |
| 1407824394 | Jacqueline Jiang Fredrick | Ophthalmology | 12011 Lee Jackson Mem Hwy #305, Fairfax, VA 22033 | 2006-03-08 |
| 1003814534 | David Benjamin Summer | Ophthalmology | 3031 Javier Rd, Suite 300, Fairfax, VA 22031-4637 | 2005-07-08 |
| 1982067112 | Meghan Giurintano Moroux | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2016-04-04 |
| 1275904674 | Eye Specialists and Surgeons of Northern Virginia, LLC | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2015-10-12 |
| Find all providers in FAIRFAX | ||||
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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.