Optometric Associates, P. C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0006 Issued in VA

Legal business name

OPTOMETRIC ASSOCIATES, P. C.

Practice address

8721 Digges Rd
Manassas, VA 20110-4403

Phone

(703) 361-4161

Fax

(703) 361-4163

NPI assigned

Oct 3, 2006

Last updated

Aug 5, 2008By 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. Robert L Bass, ODNPI 1275531824

Title

President

Phone

(703) 361-4161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

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.

• Robert Lebo Bass, O.D., F.A.A.O.

  • Optometrist
  • Manassas, VA
  • NPI 1275531824
  Medicare reassignment Care Compare group NPD Authorized official
• David R Rose, O.D.

  • Corneal and Contact Management Optometrist
  • Manassas, VA
  • NPI 1215154158
  Medicare reassignment Care Compare group NPD
• Amy E Carlyle, O.D.

  • Optometrist
  • Lutz, FL
  • NPI 1700970522
  NPD
• Jen Fang Liu Weigel, O.D.

  • Optometrist
  • McLean, VA
  • NPI 1184603003
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1356435499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403",
            "telephone_number": "703-361-4161",
            "fax_number": "703-361-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403",
            "telephone_number": "703-361-4161",
            "fax_number": "703-361-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-361-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Manassas, VA
• Providers in Manassas, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.