NORTHERN VIRGINIA EYE PHYSICIANS, PC (NPI# 1649619305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649619305 |
| Entity Type | Organization |
| Organization Name | NORTHERN VIRGINIA EYE PHYSICIANS, PC |
| Practice Address |
10721 Main St Ste 3200 Fairfax VA 22030-6906 |
| Practice Telephone | 7039513930 |
| Mailing Telephone | 7039513930 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-28 |
| Authorized Official Name | DR. WELLINGTON CHANG (PRESIDENT) |
| Authorized Official Telephone | 7039513930 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101248654 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
10721 MAIN ST STE 3200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1861889008 | Loudoun Medical Group PC | Ophthalmology | 8316 Arlington Blvd, Suite 235, Fairfax, VA 22031-5207 | 2015-04-24 |
| 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.