Arlington Loudoun Pediatric Ophthalmology PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ARLINGTON LOUDOUN PEDIATRIC OPHTHALMOLOGY PLLC

Practice address

46161 Westlake Dr Ste 300
Sterling, VA 20165-5871

Phone

(571) 434-2927

Fax

(571) 434-0838

NPI assigned

Dec 29, 2008

Last updated

Nov 18, 2021By 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

Melissa D Kern, MDNPI 1386606549

Title

Practice Owner

Phone

(571) 434-2927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Melissa D Kern, MD

  • Ophthalmology Physician
  • Sterling, VA
  • NPI 1386606549

  DC

  Medicare reassignment Care Compare group Authorized official
• Tina Douroudian, O.D.

  • Optometrist
  • Leesburg, VA
  • NPI 1154762144

  DC

  Medicare reassignment Care Compare group NPD
• Janine N. Smith-Marshall, M.D.

  • Ophthalmology Physician
  • Bowie, MD
  • NPI 1164406112
  NPD (past)

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1366688160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR",
            "address_2": "SUITE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "571-434-2927",
            "fax_number": "571-434-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "571-434-2927",
            "fax_number": "571-434-0838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Beverly Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013700",
            "country_code": "US",
            "telephone_number": "571-378-2236",
            "fax_number": "571-378-2237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARLINGTON LOUDOUN PEDIATRIC OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "571-434-2927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Sterling, VA
• Providers in Sterling, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.