Fairfax Eye Center, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101239520 Issued in VA

Legal business name

FAIRFAX EYE CENTER, PC

Practice address

3650 Joseph Siewick Dr Ste 303
Fairfax, VA 22033-1714

Phone

(508) 801-5833

Fax

(703) 242-0919

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Heather Dianne Hartzell, M.D.NPI 1902990096

Title

President and Owner

Phone

(508) 801-5833

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Heather D Hartzell, M.D.

  • Ophthalmology Physician
  • Westborough, MA
  • NPI 1902990096

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1205024692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 HIBBARD ST",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242648",
            "telephone_number": "508-801-5833",
            "fax_number": "703-242-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR STE 303",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331714",
            "telephone_number": "508-801-5833",
            "fax_number": "703-242-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX EYE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "HARTZELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "508-801-5833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101239520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "492195",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairfax Dental Esthetics
• Fairfax Dental Partners, PC (Nova Dental Partners)
• Fairfax Dentistry, PLLC
• Fairfax Endoscopy Center LLC
• Fairfax Eye Associates Inc
• Fairfax Eye Docs, LLC
• Fairfax Family Life Behavioral Health, LLC
• Fairfax Family Practice Centers PC (Fairfax Family Practice)
• Fairfax Family Practice Centers, P.C (Prosperity Primary Care)
• Fairfax Foot and Ankle Center, P.C.

• Ophthalmology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.