Active NPI
Douglas James Fraser Jr., M.D.
- Ophthalmology Physician
- Springfield, VA
National Provider Identifier
1326107103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101023876
- Practice address
- 5411A Backlick Rd
Springfield, VA 22151-3915 - Phone
- (703) 256-2474
- Fax
- (703) 941-7938
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101023876 | VA | Primary |
Addresses
Primary practice location
5411A Backlick Rd
Springfield, VA 22151-3915
Mailing address
5411A Backlick Rd
Springfield, VA 22151-3915
Phone (703) 256-2474
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146733 | Other | MAMSI PROV. NUMBER | |
| 1682 | Other | BCBS NATL CAPITAL PROV NO | |
| 2146733 | Other | MDIPA PROV NUMBER | |
| 78521 | Other | AETNA PROVIDER ID NUMBER | |
| ONENET PPO ALLIANCE | Other | 2146733 | |
| 08 00148 | Other | UNITED HEALTH CARE | |
| 1682 | Other | CARE FIRST BC BS | |
| 2146733 | Other | OPTIMUM CHOICE PROV NO | |
| 244846 | Other | NCPPO PROV NUMBER | |
| 274557 | Other | VA | ANTHEM PROVIDER NUMBER |
| 698420 | Other | FIRST HEALTH PROV NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- dfraser@sec2084.srs-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326107103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411A BACKLICK RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221513915",
"telephone_number": "703-256-2474",
"fax_number": "703-941-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411A BACKLICK RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221513915",
"telephone_number": "703-256-2474",
"fax_number": "703-941-7938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "DOUGLAS",
"middle_name": "JAMES",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101023876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROV. NUMBER",
"identifier": "2146733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NATL CAPITAL PROV NO",
"identifier": "1682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA PROV NUMBER",
"identifier": "2146733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID NUMBER",
"identifier": "78521",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "2146733",
"identifier": "ONENET PPO ALLIANCE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "08 00148",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BC BS",
"identifier": "1682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE PROV NO",
"identifier": "2146733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO PROV NUMBER",
"identifier": "244846",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "274557",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROV NUMBER",
"identifier": "698420",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.