Active NPI
Herbert Norman Furst, OD
- Optometrist
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000786
- Practice address
- 14139 Potomac Mills Road
Woodbridge, VA 20192-4644 - Phone
- (703) 490-7606
- Fax
- (703) 490-7824
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | DA0790 | MD | |
| Optometrist | 152W00000X | 0618000786 | VA | Primary |
Addresses
Primary practice location
14139 Potomac Mills Road
Woodbridge, VA 20192-4644
Mailing address
2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6 West
Rockville, MD 20852-4908
Phone (301) 816-6660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA0790 | MD | MD | Optometrist |
| 0618000786 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Optometrist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Optometrist | Current | Accepting new patients |
Locations
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
Unit 6
Rockville, MD 20852
2101 E Jefferson St
#4E
Rockville, MD 20852
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
7141 Security Blvd
Windsor Mill, MD 21244
Phone (410) 281-6200
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
Optometrist
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Optometrist
-
- Health Maintenance Organization
- Ashburn, VA
- NPI 1699893537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326499200000",
"number": "1033269790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EAST JEFFERSON STREET",
"address_2": "PPQA MEDICARE COMPLIANCE UNIT 6 WEST",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-6660",
"fax_number": "301-816-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14139 POTOMAC MILLS ROAD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "201924644",
"telephone_number": "703-490-7606",
"fax_number": "703-490-7824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURST",
"first_name": "HERBERT",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2012-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "DA0790",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.