NPIMap

Organization Active NPI

District Eyecare Inc

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1306478490
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DISTRICT EYECARE INC
Practice address
3903 Fair Ridge Dr Unit E
Fairfax, VA 22033-2943
Phone
(703) 961-9119
Fax
(312) 277-3735
NPI assigned
Feb 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Manmeet Chatha, ODNPI 1063897494
Title
Owner
Phone
(703) 961-9119

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 Primary

Addresses

Primary practice location

3903 Fair Ridge Dr Unit E
Fairfax, VA 22033-2943

Mailing address

3903 Fair Ridge Dr Unit E
Fairfax, VA 22033-2943
Phone (703) 961-9119

Other names 1

  • District Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

3903 Fair Ridge Dr
Unit E
Fairfax, VA 22033
Phone (703) 961-9119

Practitioners & affiliated clinicians

Practitioners 5

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": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1306478490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR UNIT E",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332943",
            "telephone_number": "703-961-9119",
            "fax_number": "312-277-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR UNIT E",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332943",
            "telephone_number": "703-961-9119",
            "fax_number": "312-277-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "CHATHA",
        "authorized_official_first_name": "MANMEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-961-9119",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "District Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.