NPIMap

Organization Active NPI

De la Rosa Eyecare, LLC

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1346854874
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DE LA ROSA EYECARE, LLC
Practice address
107 S West St Ste 751
Alexandria, VA 22314-2824
Phone
(305) 306-2212
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Dr. Shirley De la Rosa, ODNPI 1124300413
Title
Manager
Phone
(571) 305-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

107 S West St Ste 751
Alexandria, VA 22314-2824

Mailing address

107 S West St Ste 751
Alexandria, VA 22314-2824

National Provider Directory

National Provider Directory

Locations

107 S West St
Alexandria, VA 22314
Phone (571) 305-0400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1346854874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S WEST ST STE 751",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S WEST ST STE 751",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142824",
            "telephone_number": "305-306-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA ROSA EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-305-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.