Organization Active NPI

Virginia Vision Associates Optometry PLLC

  • Optometrist
  • Arlington, VA
National Provider Identifier
1295826220
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000084 Issued in VA
Legal business name
VIRGINIA VISION ASSOCIATES OPTOMETRY PLLC
Practice address
3800 Fairfax Dr Ste 1
Arlington, VA 22203-1703
Phone
(703) 522-3454
Fax
(703) 522-9636
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Russell Beach
Title
President
Phone
(703) 522-3454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000084 VA Primary

Addresses

Primary practice location

3800 Fairfax Dr Ste 1
Arlington, VA 22203-1703

Mailing address

3800 Fairfax Dr Ste 1
Arlington, VA 22203-1703
Phone (703) 522-3454

Other names 1

  • VIRGINIA VISION ASSOCIATES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061101000552 DC Part B Supplier - Clinic/Group Practice 3678570702 Receives reassigned benefits from 4 practitioners
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1295826220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR STE 1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031703",
            "telephone_number": "703-522-3454",
            "fax_number": "703-522-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR STE 1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031703",
            "telephone_number": "703-522-3454",
            "fax_number": "703-522-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA VISION ASSOCIATES OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-522-3454"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIRGINIA VISION ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.