Dr Edwin Siegel PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000674 Issued in VA

Legal business name

DR EDWIN SIEGEL PC

Practice address

6407 Recreation Lane
Falls Church, VA 22041-1216

Phone

(703) 920-2020

Fax

(703) 920-3852

NPI assigned

Feb 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Siegel, ODNPI 1033446919

Title

President

Phone

(703) 920-2020

Specialties & licenses 2

Addresses

Other names 1

• Dr Edwin Siegel PC Other name

Locations

Practitioners 1

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.

• Edwin Siegel, OD

  • Optometrist
  • Washington, DC
  • NPI 1033446919
  NPD (past) Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326014929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 RECREATION LANE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220411216",
            "telephone_number": "703-920-2020",
            "fax_number": "703-920-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 RECREATION LANE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220411216",
            "telephone_number": "703-920-2020",
            "fax_number": "703-920-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDWIN SIEGEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-920-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP406",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Edwin Siegel PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.