Organization Active NPI

Tysons Corner Opticians Inc

  • Optician
  • Vienna, VA
National Provider Identifier
1275730525
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101001692 Issued in VA
Legal business name
TYSONS CORNER OPTICIANS INC
Practice address
8150 Leesburg Pike
Suite 901
Vienna, VA 22182-7715
Phone
(703) 790-0803
Fax
(703) 356-5639
NPI assigned
Jun 29, 2007
Last updated
Aug 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Carl Leto, M.D.NPI 1528136512
Title
Owner
Phone
(703) 790-0803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 1101001692 VA Primary

Addresses

Primary practice location

8150 Leesburg Pike
Suite 901
Vienna, VA 22182-7715

Mailing address

8150 Leesburg Pike
Suite 901
Vienna, VA 22182-7750
Phone (703) 790-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930039965 VA DME Supplier - Physician - Ophthalmology 3971622119 Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

8150 Leesburg Pike
Ste 901
Vienna, VA 22182
Phone (703) 790-0803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1275730525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE",
            "address_2": "SUITE 901",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827750",
            "telephone_number": "703-790-0803",
            "fax_number": "703-356-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE",
            "address_2": "SUITE 901",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827715",
            "telephone_number": "703-790-0803",
            "fax_number": "703-356-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSONS CORNER OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "LETO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-790-0803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101001692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.