Organization Active NPI

Nova Eye Physicians & Surgeons

  • Ophthalmology Physician
  • Alexandria, VA
National Provider Identifier
1104037977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101234485 Issued in VA
Legal business name
NOVA EYE PHYSICIANS & SURGEONS
Practice address
3223 Duke St
Suite G
Alexandria, VA 22314-4586
Phone
(703) 200-6804
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Walter Q Wang, MD
Title
Chief
Phone
(312) 339-4630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 0101234485 VA Primary

Addresses

Primary practice location

3223 Duke St
Suite G
Alexandria, VA 22314-4586

Mailing address

505 Plantation St
#412
Worcester, MA 01605-4333
Phone (703) 200-6804

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104037977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PLANTATION ST",
            "address_2": "#412",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016054333",
            "telephone_number": "703-200-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 DUKE ST",
            "address_2": "SUITE G",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144586",
            "telephone_number": "703-200-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA EYE PHYSICIANS & SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "312-339-4630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101234485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2020; 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.