Organization Active NPI

Jing Guo, O.D.

  • Optometrist
  • Gainesville, VA
National Provider Identifier
1316034945
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000958 Issued in VA
Legal business name
JING GUO, O.D.
Practice address
7340 Heritage Village PLZ
Suite 102
Gainesville, VA 20155-3079
Phone
(571) 261-4929
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Jing Guo, O.D.
Title
Optometrist
Phone
(571) 261-4929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000958 VA Primary

Addresses

Primary practice location

7340 Heritage Village PLZ
Suite 102
Gainesville, VA 20155-3079

Mailing address

8703 Esquire Crossing LN
Vienna, VA 22180-7088
Phone (571) 261-4929

Other identifiers 1

IdentifierTypeStateIssuer
9233571MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1316034945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 ESQUIRE CROSSING LN",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807088",
            "telephone_number": "571-261-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 HERITAGE VILLAGE PLZ",
            "address_2": "SUITE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553079",
            "telephone_number": "571-261-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JING GUO, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "571-261-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9233571",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.