NPIMap

Organization Active NPI

Daniel Poth, O.D. and Associates, P.C.

Doing business as Visionworks Doctors of Optometry

  • Eyewear Supplier
  • Alexandria, VA
National Provider Identifier
1063454460
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DANIEL POTH, O.D. AND ASSOCIATES, P.C.
Doing business as
Visionworks Doctors of Optometry
Practice address
7702 Richmond Hwy
Suite H
Alexandria, VA 22306-2803
Phone
(703) 717-0737
Fax
(703) 717-0739
NPI assigned
Jun 11, 2006
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Dan Poth, O.D.
Title
Owner
Phone
(703) 288-1978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

7702 Richmond Hwy
Suite H
Alexandria, VA 22306-2803

Mailing address

PO Box 842375
Dallas, TX 75284-2375
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
01277451MedicaidVA

Other names 1

  • Visionworks Doctors of Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

4627 Duke St
Alexandria, VA 22304
Phone (703) 212-9702

7702 Richmond Hwy
#63
Alexandria, VA 22306

10782 Fairfax Blvd
Ste A
Fairfax, VA 22030

13061 Lee Jackson Hwy
Ste A
Fairfax, VA 22033

9510 Main St
Fairfax, VA 22031
Phone (571) 513-4347

1460 Central Park Blvd
Ste 100
Fredericksburg, VA 22401
Phone (540) 291-7362

12950 Highland Crossing Dr
Herndon, VA 20171

11130 South Lakes Dr
#L
Reston, VA 20191
Phone (703) 470-1012

6535 Springfield Mall
Springfield, VA 22150
Phone (703) 971-4739

8424 Old Keene Mill Rd
West Springfield, VA 22152
Phone (703) 288-1978

2700 Potomac Mills Cir
Woodbridge, VA 22192
Phone (703) 490-4250

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1063454460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842375",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 RICHMOND HWY",
            "address_2": "SUITE H",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062803",
            "telephone_number": "703-717-0737",
            "fax_number": "703-717-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL POTH, O.D. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "POTH",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-288-1978",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277451",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.