Sushil K Jain OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001001 Issued in VA

Legal business name

SUSHIL K JAIN OD PC

Practice address

6251 Old Dominion Dr
MC Lean, VA 22101-4827

Phone

(703) 534-5717

Fax

(703) 534-5718

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sushil K. Jain, O.D.NPI 1740260041

Title

President & Ceo

Phone

(240) 277-3039

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Practitioners 1

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

• Sushil K Jain, OD

  • Optometrist
  • Fairfax, VA
  • NPI 1740260041

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1033140793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 GALLOWS RD",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271310",
            "telephone_number": "703-525-4411",
            "fax_number": "703-525-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 OLD DOMINION DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014827",
            "telephone_number": "703-534-5717",
            "fax_number": "703-534-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHIL K JAIN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "240-277-3039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Kim Summers
• Sunmin Park, D.D.S.
• Sunrise Integrative Wellness
• Supportive Care ABA VA LLC
• Susan Kinkead-Acree, MD, PLLC
• Eve Sussman, LICSW,LCSW
• Aaron Sutton
• Stephanie Swanson, M.D.
• Kathleen Sweeney
• Amber Hameed Syed, MD (MBBS)

• Optometrist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.