Eyecare Center Corp

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

Legal business name

EYECARE CENTER CORP

Practice address

4229 Jefferson Oaks Cir
K
Fairfax, VA 22033-4071

Phone

(703) 470-8274

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Esther Moncayo, ABOC, LICENSED

Title

Optometrist / Optician

Phone

(703) 470-8274

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1114292737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD",
            "address_2": "SUITE 216",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314645",
            "telephone_number": "703-470-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 JEFFERSON OAKS CIR",
            "address_2": "K",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334071",
            "telephone_number": "703-470-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "MONCAYO",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "OPTOMETRIST / OPTICIAN",
        "authorized_official_telephone_number": "703-470-8274",
        "authorized_official_credential": "ABOC, LICENSED"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• VA Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• VA Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.