EYELAB (NPI# 1952422081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952422081 |
| Entity Type | Organization |
| Organization Name | EYELAB |
| Practice Address |
12120a Fairfax Towne Ctr Fairfax VA 22033-2876 |
| Practice Telephone | 7032469596 |
| Mailing Telephone | 7032469596 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBER BOJARSKI (OPTICIAN) |
| Authorized Official Telephone | 3014670969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101 003357 | VA | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | EYELAB | 213 Elm Street, Montpelier, VT 05602 |
| Virginia Business Entities | EYELAB INC. | 2534 Royal Ln, Dallas, Texas 75229 |
| Massachusetts Corporations | EYELAB, INC. | 2534 Royal Ln., Dallas, TX 75229 |
| Connecticut Business Registrations | EYELAB, INC. | 2534 Royal Lane, Dallas, TX 75229 |
| Oklahoma Business Registrations | EYELAB, INC. | 29001 Cedar Rd., Cleveland, OH 44124 |
| Indiana Business Entities | EYELAB, INC. | Attn: Tax Payments, 2534 Royal Lane, Dallas, TX 75229 |
| Street Address |
12120A FAIRFAX TOWNE CTR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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 |
| 1821171802 | Wal-mart Stores East, Lp | Technician/Technologist | 13059 Fair Lakes Parkway, Fairfax, VA 22033 | 2006-10-23 |
| 1588772024 | Optimum Optical LLC | Technician/Technologist | 3930 Pender Drive, Suite #10, Fairfax, VA 22030-0985 | 2006-08-25 |
| 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 |
|---|---|---|---|---|
| 1972117372 | Martin A Shahmirzadi | Technician/Technologist | 1934 Old Gallows Rd Ste 350b, Vienna, VA 22182-4042 | 2020-09-02 |
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.