OPTIMUM OPTICAL LLC (NPI# 1588772024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588772024 |
| Entity Type | Organization |
| Organization Name | OPTIMUM OPTICAL LLC |
| Practice Address |
3930 Pender Drive Suite #10 Fairfax VA 22030-0985 |
| Practice Telephone | 7032732398 |
| Practice Fax Number | 7032730239 |
| Mailing Telephone | 7032732398 |
| Mailing Fax Number | 7032730239 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | CHRISTOPHER RANDOLPH (OWNER) |
| Authorized Official Telephone | 7032732398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101-001390 | VA | Eye and Vision Services Providers |
| Street Address |
3930 PENDER DRIVE SUITE #10 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-0985 |
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| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114129996 | Blend Optical Inc. | Technician/Technologist | 11702u Fair Oaks Mall, Fairfax, VA 22033-3325 | 2007-06-04 |
| 1952422081 | Eyelab | Technician/Technologist | 12120a Fairfax Towne Ctr, Fairfax, VA 22033-2876 | 2007-04-03 |
| 1821171802 | Wal-mart Stores East, Lp | Technician/Technologist | 13059 Fair Lakes Parkway, Fairfax, VA 22033 | 2006-10-23 |
| 1043512726 | America's Best Contacts & Eyeglasses | Technician/Technologist | 11139 Lee Hwy, Fairfax, VA 22030-5004 | 2010-12-01 |
| 1710146410 | Duplessis Optical, LLC | Technician/Technologist | 11702u Fair Oaks Mall, Fairfax, VA 22033-3325 | 2008-06-06 |
| 1316161151 | Fairfax Medical Center Optician Inc. | Technician/Technologist | 10721 Main St, Suite 105, Fairfax, VA 22030-6959 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1972117372 | Martin A Shahmirzadi | Technician/Technologist | 1934 Old Gallows Rd Ste 350b, Vienna, VA 22182-4042 | 2020-09-02 |
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| 1316421449 | National Vision Inc | Technician/Technologist | 545a Hilltop Plz, Virginia Beach, VA 23454-4501 | 2018-09-25 |
| 1215417001 | Takenya Norfus | Technician/Technologist | 3031 Kempton Park Rd, Suffolk, VA 23435-2552 | 2018-08-21 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1780190900 | Rosalind Bond Alexander | Technician/Technologist | 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 | 2017-12-26 |
| 1225543275 | Rachel Naomi Melendrez | Technician/Technologist | 125 Mill St Ste 12, Occoquan, VA 22125-7732 | 2017-12-12 |
| 1548774425 | Dean Diffenbaugh | Technician/Technologist | 137 Spotsylvania Mall Ste 440a, Fredericksburg, VA 22407-1126 | 2017-11-29 |
| 1447761408 | David Morris Lambert | Technician/Technologist | 904 N 1st St Ste 100, Richmond, VA 23219-1000 | 2017-10-17 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
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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.