Active NPI
The Eye MD, PC
- Ophthalmology Physician
- Lorton, VA
National Provider Identifier
1144510249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101241019
- Legal business name
- THE EYE MD, PC
- Practice address
- 9010 Lorton Station Blvd
Suite 250
Lorton, VA 22079-4798 - Phone
- (571) 285-2020
- NPI assigned
- Apr 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Majlessi, MD
- Title
- Owner
- Phone
- (571) 285-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101241019 | VA | Primary |
Addresses
Primary practice location
9010 Lorton Station Blvd
Suite 250
Lorton, VA 22079-4798
Mailing address
9010 Lorton Station Blvd
Suite 250
Lorton, VA 22079-4798
Phone (571) 285-2020
Other names 1
- Potomac Eye Consultants, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9010 Lorton Station Blvd
Ste 250
Lorton, VA 22079
Phone (571) 285-2020
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": "1302480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422316800000",
"number": "1144510249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9010 LORTON STATION BLVD",
"address_2": "SUITE 250",
"city": "LORTON",
"state": "VA",
"postal_code": "220794798",
"telephone_number": "571-285-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 LORTON STATION BLVD",
"address_2": "SUITE 250",
"city": "LORTON",
"state": "VA",
"postal_code": "220794798",
"telephone_number": "571-285-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYE MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-11",
"last_updated": "2015-01-27",
"status": "A",
"authorized_official_last_name": "MAJLESSI",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-285-2020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101241019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Potomac Eye Consultants, PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.