Nova Premier Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001480 Issued in VA

Legal business name

NOVA PREMIER EYECARE, P.C.

Practice address

11702U Fair Oaks Mall
Fairfax, VA 22033-3325

Phone

(703) 359-9290

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Hang Nguyen, O.D.NPI 1982744124

Title

Optometrist

Phone

(571) 338-0263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Nova Premier Eyecare

  • Optometrist
  • Fairfax, VA
  • NPI 1235536103
  NPD tax ID

Locations

Practitioners 2

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

• Vivian H Nguyen, OD

  • Optometrist
  • Fairfax, VA
  • NPI 1982744124

  DC

  Medicare reassignment NPD Authorized official
• Jung Suh, O.D.

  • Optometrist
  • Warrenton, VA
  • NPI 1245406842
  NPD (past)

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1255648283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 BOLTON VILLAGE CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321147",
            "telephone_number": "571-338-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11702U FAIR OAKS MALL",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333325",
            "telephone_number": "703-359-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PREMIER EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "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": "571-338-0263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Nurses Home Care Agency, LLC
• Nova Oncology Associates, PC
• Nova Pain Management Center Inc
• Nova Physician Wellness Center PLLC
• Nova Premier Eyecare
• Nova Professional Home Health Care LLC
• Nova Psych & Wellness
• Nova Reconstructive Surgery LLC
• Nova Smile Design PLLC
• Nova Spine & Injury Center, Inc.

• Optometrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.