Organization Active NPI

My Vision Care PLLC

  • Optometrist
  • Woodbridge, VA
National Provider Identifier
1194976969
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001741 Issued in VA
Legal business name
MY VISION CARE PLLC
Practice address
14130 Noblewood PLZ
Unit 105
Woodbridge, VA 22193-1464
Phone
(703) 878-2020
Fax
(703) 878-2020
NPI assigned
Oct 9, 2008
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Mohammad Ashfaq, O.DNPI 1396992145
Title
Doctor
Phone
(703) 878-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001741 VA Primary

Addresses

Primary practice location

14130 Noblewood PLZ
Unit 105
Woodbridge, VA 22193-1464

Mailing address

14599 Charity CT
Woodbridge, VA 22193-1200
Phone (703) 878-2020

Other identifiers 2

IdentifierTypeStateIssuer
1194976969MedicaidVA
363065OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

5801 Duke St
Ste E232
Alexandria, VA 22304
Phone (703) 642-0542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1194976969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14599 CHARITY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931200",
            "telephone_number": "703-878-2020",
            "fax_number": "703-878-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14130 NOBLEWOOD PLZ",
            "address_2": "UNIT 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931464",
            "telephone_number": "703-878-2020",
            "fax_number": "703-878-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "ASHFAQ",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-878-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194976969",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "363065",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.