Active NPI
Dulles Town Center Optical, Inc
- Eyewear Supplier
- Dulles, VA
National Provider Identifier
1346360526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- B706258
- 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.
-
- Optometrist
- Dulles, VA
- NPI 1114007408
-
- Optician
- Dulles, VA
- NPI 1518197649
-
- Optometrist
- Dulles, VA
- NPI 1164505855
National Provider Directory
National Provider DirectoryLocations
1880 Howard Ave
Ste 301B
Vienna, VA 22182
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | B706258 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- Dr. Daraius a. Unwalla & Associates, Optometrists, P.C.
- Dr. Donna a. Brane & Associates, Inc.
- Aditya N Dubey, MD
- Dulles Dermatology Associates, PLLC
- Dulles Family Eyecare LLC
- Dulles Town Center Optics
- Jason David Edginton
- Elite Dental Care, P.C.
- Scott Bradley Ellis, DMD
- Emergency Medicine Associates PA PC
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.