Potomac Eye Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0101023876 Issued in VA

Legal business name

POTOMAC EYE CENTER

Practice address

5411A Backlick Rd
Springfield, VA 22151-3915

Phone

(703) 256-2474

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas James Fraser,Jr., M.D.

Title

President

Phone

(703) 256-2474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1114052065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411A BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-256-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411A BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-256-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "FRASER,JR.",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-256-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0101023876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank R Portell, DMD
• Katelyn Rachael Porter, FNP-BC
• Meredith Lynn Porter, MD
• Taylor Porter, RBT
• Deanna Elizabeth Posada
• Potomac Eye Center
• Rachel Roberts Potts, OTR
• Odongerel Pount, PHARM.D.
• Catherine Ann Powell
• Mildred Sartee Prah, DPM

• Durable Medical Equipment & Medical Supplies in Springfield, VA
• Providers in Springfield, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.