Organization Active NPI

Northern Virginia Eye Institute

  • Ophthalmology Physician
  • Winchester, VA
National Provider Identifier
1063570513
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTHERN VIRGINIA EYE INSTITUTE
Practice address
212 Linden Dr.
#154
Winchester, VA 22601
Phone
(540) 313-4435
Fax
(540) 313-4438
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Mr. Tayyib S Rana, M.D.NPI 1336176650
Title
Owner/President
Phone
(540) 313-4435

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

212 Linden Dr.
#154
Winchester, VA 22601

Mailing address

212 Linden Dr.
#154
Winchester, VA 22601
Phone (540) 313-4435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041209000146 VA Part B Supplier - Clinic/Group Practice 7618933896 Receives reassigned benefits from 3 practitioners
Practice locations: Herndon, VA; Winchester, VA

National Provider Directory

National Provider Directory
Tax ID family
Northern Virginia Eye Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

44345 Premier Plz
Ste 130
Ashburn, VA 20147
Phone (540) 536-7000

621 W Jubal Early Dr
Ste D
Winchester, VA 22601
Phone (540) 313-4435

Practitioners & affiliated clinicians

Practitioners 3

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1063570513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LINDEN DR.",
            "address_2": "#154",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-313-4435",
            "fax_number": "540-313-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 LINDEN DR.",
            "address_2": "#154",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-313-4435",
            "fax_number": "540-313-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "TAYYIB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "540-313-4435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.