Organization Active NPI

Doran Optometry, PLLC

  • Optometrist
  • Ashburn, VA
National Provider Identifier
1083151278
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002097 Issued in VA
Legal business name
DORAN OPTOMETRY, PLLC
Practice address
20070 Ashbrook Commons PLZ
Ste 186
Ashburn, VA 20147-5034
Phone
(703) 729-8007
Fax
(703) 729-9044
NPI assigned
Jan 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Dr. Ryan William Doran, O.D.
Title
Optometrist
Phone
(703) 729-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618002097 VA Primary

Addresses

Primary practice location

20070 Ashbrook Commons PLZ
Ste 186
Ashburn, VA 20147-5034

Mailing address

20070 Ashbrook Commons PLZ
Ste 186
Ashburn, VA 20147-5034
Phone (703) 729-8007

National Provider Directory

National Provider Directory

Locations

20070 Ashbrook Commons Plz
Unit 186
Ashburn, VA 20147
Phone (703) 729-8007

Practitioners & affiliated clinicians

Practitioners 2

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": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1083151278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20070 ASHBROOK COMMONS PLZ",
            "address_2": "STE 186",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475034",
            "telephone_number": "703-729-8007",
            "fax_number": "703-729-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20070 ASHBROOK COMMONS PLZ",
            "address_2": "STE 186",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475034",
            "telephone_number": "703-729-8007",
            "fax_number": "703-729-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAN OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "DORAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-729-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.