Active NPI
Allan Gary Dosik, O.D.
- Optometrist
- Springfield, VA
National Provider Identifier
1215073614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601000973
- Practice address
- 6795B Springfield Mall
Springfield, VA 22150-1704 - Phone
- (703) 719-9198
- Fax
- (703) 719-9199
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601000973 | VA | Primary |
Addresses
Primary practice location
6795B Springfield Mall
Springfield, VA 22150-1704
Mailing address
6200 28TH St N
Arlington, VA 22207-1110
Phone (703) 536-3663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9205888 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601000973 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215073614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 28TH ST N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071110",
"telephone_number": "703-536-3663",
"fax_number": "703-536-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6795B SPRINGFIELD MALL",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501704",
"telephone_number": "703-719-9198",
"fax_number": "703-719-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSIK",
"first_name": "ALLAN",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601000973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9205888",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
- Lauren May Donahue, BCBA, LBA
- Colleen Grace Donley, PT
- Goldye P Donner, LCSW
- Kathleen Donovan
- Wanda C. Dooley, NP
- Dots4Pedsllc-Developmental Outpatient Therapy Services for Pediatrics
- Janet Marie Dougherty, MD
- Jessica Elizabeth Douglas
- Dr Ansam Zaiber LLC (Springfield Dental Care)
- Dr. Barry H. Arons
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.