Organization Active NPI

Clearfinity Eyecare PLLC

  • Optometrist
  • Lorton, VA
National Provider Identifier
1013381847
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001477 Issued in VA
Legal business name
CLEARFINITY EYECARE PLLC
Practice address
9000 Lorton Station Blvd
Ste M
Lorton, VA 22079-4748
Phone
(703) 293-5222
Fax
(703) 293-5223
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Laura Frederick, O.D.NPI 1982636783
Title
Optometrist
Phone
(703) 293-5222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001477 VA Primary

Addresses

Primary practice location

9000 Lorton Station Blvd
Ste M
Lorton, VA 22079-4748

Mailing address

7807 Locust Leaf LN
Alexandria, VA 22315-6120

Other names 1

  • Clearfinity Eyecare Optometrist Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170425000955 DC Part B Supplier - Clinic/Group Practice 8921384108 Receives reassigned benefits from 2 practitioners
Practice locations: Lorton, VA

National Provider Directory

National Provider Directory

Locations

9000 Lorton Station Blvd
Ste M
Lorton, VA 22079
Phone (703) 293-5222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1013381847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 LOCUST LEAF LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223156120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 LORTON STATION BLVD",
            "address_2": "STE M",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794748",
            "telephone_number": "703-293-5222",
            "fax_number": "703-293-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARFINITY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-293-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearfinity Eyecare Optometrist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.