Fairfax Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAIRFAX OPTOMETRY, LLC

Practice address

4203 Fairfax Corner East Ave
Fairfax, VA 22030-8601

Phone

(703) 266-8400

Fax

(703) 266-9980

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Sue A Healey

Title

Secretary

Phone

(703) 847-9393

Specialties & licenses 1

Addresses

Other names 1

• My Eye Dr. Doing business as

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1275699712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 FAIRFAX CORNER EAST AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308601",
            "telephone_number": "703-266-8400",
            "fax_number": "703-266-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-9393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Dr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eye Dr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 28, 2025; 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.