Organization Active NPI

Dulles Town Center Optical, Inc

  • Eyewear Supplier
  • Dulles, VA
National Provider Identifier
1346360526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
B706258 Issued in VA
Legal business name
DULLES TOWN CENTER OPTICAL, INC
Practice address
21100 Dulles Town Cir Ste 290
Dulles, VA 20166-2442
Phone
(703) 421-3359
Fax
(703) 421-3428
NPI assigned
Mar 30, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Ana D Puhl
Title
Vice President
Phone
(703) 421-3359

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1880 Howard Ave
Ste 301B
Vienna, VA 22182

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X B706258 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

21100 Dulles Town Cir Ste 290
Dulles, VA 20166-2442

Mailing address

1880 Howard Ave Ste 301B
Vienna, VA 22182-2611
Phone (703) 761-4950

Other names 1

NPPES NPI Registry
  • Sterling Optical Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346360526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 HOWARD AVE STE 301B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822611",
            "telephone_number": "703-761-4950",
            "fax_number": "703-761-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21100 DULLES TOWN CIR STE 290",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662442",
            "telephone_number": "703-421-3359",
            "fax_number": "703-421-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULLES TOWN CENTER OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUHL",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-421-3359",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "B706258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dulles, VA

Sources for this page

  • 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.