Dulles Family Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DULLES FAMILY EYECARE LLC

Practice address

24635 Dulles Landing Dr
Dulles, VA 20166-2614

Phone

(703) 270-1190

Fax

(703) 270-1190

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mojgan Haghshenas, ODNPI 1386678324

Title

Optometrist

Phone

(703) 270-1190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mojgan Haghshenas, OD

  • Optometrist
  • Centreville, VA
  • NPI 1386678324
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1124640289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 HARNESS HILL CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213817",
            "telephone_number": "703-969-8748",
            "fax_number": "703-270-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24635 DULLES LANDING DR",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662614",
            "telephone_number": "703-270-1190",
            "fax_number": "703-270-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULLES FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "HAGHSHENAS",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-270-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Donovan
• Dr. Daraius a. Unwalla & Associates, Optometrists, P.C.
• Dr. Donna a. Brane & Associates, Inc.
• Aditya N Dubey, MD
• Dulles Dermatology Associates, PLLC
• Dulles Town Center Optical, Inc
• Dulles Town Center Optics
• Jason David Edginton
• Elite Dental Care, P.C.
• Scott Bradley Ellis, DMD

• All providers in Dulles, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.