Organization Active NPI

Eye2Eye Optometry Corner, PC

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1275753055
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000936 Issued in VA
Legal business name
EYE2EYE OPTOMETRY CORNER, PC
Practice address
1502 Mount Vernon Ave
Alexandria, VA 22301-1718
Phone
(703) 548-0122
Fax
(703) 548-0133
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Dr. Dora Adamopoulos, O.D.NPI 1588641583
Title
President
Phone
(703) 548-0122

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 0618000936 VA Primary

Addresses

Primary practice location

1502 Mount Vernon Ave
Alexandria, VA 22301-1718

Mailing address

1502 Mount Vernon Ave
Alexandria, VA 22301-1718
Phone (703) 548-0122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928000237 DC Part B Supplier - Clinic/Group Practice 0446285563 Receives reassigned benefits from 3 practitioners
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

6475 Old Beulah St
Alexandria, VA 22315
Phone (703) 822-0570

1502 Mount Vernon Ave
Alexandria, VA 22301
Phone (703) 548-0122

Practitioners & affiliated clinicians

Practitioners 5

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1275753055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011718",
            "telephone_number": "703-548-0122",
            "fax_number": "703-548-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011718",
            "telephone_number": "703-548-0122",
            "fax_number": "703-548-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE2EYE OPTOMETRY CORNER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "ADAMOPOULOS",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-548-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.