VIRGINIA RETINA SPECIALISTS (NPI# 1770943565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770943565 |
| Entity Type | Organization |
| Organization Name | VIRGINIA RETINA SPECIALISTS |
| Practice Address |
6400 Arlington Blvd. Suite 600 Falls Church VA 22042-2349 |
| Practice Telephone | 7032889001 |
| Practice Fax Number | 7032885169 |
| Mailing Telephone | 7032889001 |
| Mailing Fax Number | 7032885169 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | KHURRAM J. MALIK (AUTHORIZED REP/OWNER) |
| Authorized Official Telephone | 7032889001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
VA | Allopathic & Osteopathic Physicians | |
| N | 207WX0108X |
Ophthalmology Specialization: Uveitis and Ocular Inflammatory Disease |
VA | Allopathic & Osteopathic Physicians | |
| Y | 207W00000X | Ophthalmology | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1770943565 | 05 | |
| DC | 057748500 | 05 | |
| MD | 634503400 | 05 |
| Street Address |
6400 ARLINGTON BLVD. SUITE 600 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733747 | Colleen S. Kepner | Obstetrics & Gynecology | 6400 Arlington Blvd., Suite 210, Falls Church, VA 22042 | 2005-10-10 |
| 1073930954 | Vanessa Rodriguez | Nurse Practitioner | 6400 Arlington Blvd., Suite 210, Falls Church, VA 22042 | 2014-03-28 |
| 1578825311 | Mary Ellen Bouchard | Advanced Practice Midwife | 6400 Arlington Blvd., Suite 210, Falls Church, VA 22042 | 2012-06-07 |
| 1306135132 | Bann Al-shammaa | Pediatrics | 6400 Arlington Blvd., Suite 200, Falls Church, VA 22042 | 2011-04-01 |
| 1821395526 | Amy Stoffregen Weissbarth | Nurse Practitioner | 6400 Arlington Blvd., Suite 210, Falls Church, VA 22042 | 2011-02-16 |
| 1760619951 | Henna Akhtar Qureshi | Pediatrics | 6400 Arlington Blvd., Suite 200, Falls Church, VA 22042 | 2009-06-16 |
| 1871729756 | Rachel Kastl Casey | Obstetrics & Gynecology | 6400 Arlington Blvd., Suite 210, Falls Church, VA 22042 | 2009-06-05 |
| 1609059005 | Margaret-anne Mcgibbon Fernandez | Pediatrics | 6400 Arlington Blvd., Suite 200, Falls Church, VA 22042 | 2007-12-10 |
| 1538361423 | Khurram Javed Malik | Ophthalmology | 6400 Arlington Blvd., Suite 600, Falls Church, VA 22042-2349 | 2007-06-03 |
| 1356567697 | Evelyn Ahlstrom Cohn | Nurse Practitioner | 6400 Arlington Blvd., Suite 210, Falls Church, VA 22042 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| 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 |
|---|---|---|---|---|
| 1710206057 | Alexandre F Gauthier | Ophthalmology | 6400 Arlington Blvd Ste 600, Falls Church, VA 22042-2349 | 2010-05-26 |
| 1326249889 | Gustavo A Corrales | Ophthalmology | 410 S Washington St, Falls Church, VA 22046 | 2007-05-30 |
| 1366543068 | Bert B Souryal | Ophthalmology | 7923 Landing Ln, Falls Church, VA 22043-3420 | 2006-09-26 |
| 1972609469 | Amy R Jeffery | Ophthalmology | 6231 Leesburg Pike Suite 608, Falls Church, VA 22044-2102 | 2006-09-15 |
| 1699870600 | Hameed U Peracha | Ophthalmology | 3400 Payne St, Suite 200, Falls Church, VA 22041-2313 | 2006-09-14 |
| 1811981483 | Jorge Luis Campana | Ophthalmology | 6201 Leesburg Pike, Suite 200, Falls Church, VA 22044-2201 | 2005-09-09 |
| 1295730125 | Nancy Able Morrison | Ophthalmology | 6231 Leesburg Pike Ste 608, Falls Church, VA 22044-2102 | 2005-06-16 |
| 1952304156 | John Henry Varga | Ophthalmology | 1002 Seaton Ln, Falls Church, VA 22046-3918 | 2005-05-23 |
| 1861837098 | Jinali Diora | Ophthalmology | 6231 Leesburg Pike Ste 608, Falls Church, VA 22044-2102 | 2013-05-01 |
| 1548575921 | John T Mcallister | Ophthalmology | 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044-2102 | 2010-08-10 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
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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.