Active NPI
Village Eye Center
- Eyewear Supplier
- MC Lean, VA
National Provider Identifier
1033388293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 0002859599
- Legal business name
- VILLAGE EYE CENTER
- Practice address
- 1471 Chain Bridge Rd
MC Lean, VA 22101-5722 - Phone
- (703) 356-1770
- NPI assigned
- Feb 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn Friedkin
- Title
- Optician
- Phone
- (703) 356-1770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 0002859599 | VA | Primary |
Addresses
Primary practice location
1471 Chain Bridge Rd
MC Lean, VA 22101-5722
Mailing address
1471 Chain Bridge Rd
MC Lean, VA 22101-5722
Phone (703) 356-1770
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1033388293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 CHAIN BRIDGE RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015722",
"telephone_number": "703-356-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 CHAIN BRIDGE RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015722",
"telephone_number": "703-356-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE EYE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "FRIEDKIN",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "703-356-1770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "VA",
"license": "0002859599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.