Organization Active NPI

Optimeyes LLC

  • Optometrist
  • Broadlands, VA
National Provider Identifier
1013320266
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTIMEYES LLC
Practice address
43150 Broadlands Center PLZ
Suite 160
Broadlands, VA 20148-3800
Phone
(832) 934-1166
Fax
(832) 934-1161
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Seema Mohanan, OD/OWNER
Title
OD/Owner
Phone
(215) 840-2521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

43150 Broadlands Center PLZ
Suite 160
Broadlands, VA 20148-3800

Mailing address

43150 Broadlands Center PLZ
Suite 160
Broadlands, VA 20148-3800
Phone (832) 934-1166

National Provider Directory

National Provider Directory

Locations

43150 Broadlands Center Plz
Ste 160
Broadlands, VA 20148
Phone (832) 934-1166

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1013320266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43150 BROADLANDS CENTER PLZ",
            "address_2": "SUITE 160",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483800",
            "telephone_number": "832-934-1166",
            "fax_number": "832-934-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43150 BROADLANDS CENTER PLZ",
            "address_2": "SUITE 160",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483800",
            "telephone_number": "832-934-1166",
            "fax_number": "832-934-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMEYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MOHANAN",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "215-840-2521",
        "authorized_official_credential": "OD/OWNER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.