NPIMap

Organization Active NPI

Nova Premier Eyecare

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1235536103
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001480 Issued in VA
Legal business name
NOVA PREMIER EYECARE
Practice address
10333 Democracy LN
Suite a
Fairfax, VA 22030-2544
Phone
(703) 359-9290
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Dr. Vivian Hang NguyenNPI 1982744124
Title
Optometrist
Phone
(703) 359-9290

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001480 VA Primary

Addresses

Primary practice location

10333 Democracy LN
Suite a
Fairfax, VA 22030-2544

Mailing address

10333 Democracy LN
Suite a
Fairfax, VA 22030-2544
Phone (703) 359-9290

National Provider Directory

National Provider Directory
Tax ID family
Nova Premier Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1235536103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 DEMOCRACY LN",
            "address_2": "SUITE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302544",
            "telephone_number": "703-359-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 DEMOCRACY LN",
            "address_2": "SUITE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302544",
            "telephone_number": "703-359-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PREMIER EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "HANG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-359-9290",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.