Organization Active NPI

Prestera Optical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Falls Church, VA
National Provider Identifier
1376723346
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRESTERA OPTICAL INC.
Practice address
6305 Castle PL
Falls Church, VA 22044-1905
Phone
(703) 534-5464
Fax
(703) 534-5815
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mr. Christpher G Prestera, L.D.O.
Title
President
Phone
(703) 534-5464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Eyewear Supplier 332H00000X 1101000519 VA

Addresses

Primary practice location

6305 Castle PL
Falls Church, VA 22044-1905

Mailing address

6305 Castle PL
Falls Church, VA 22044-1905
Phone (703) 534-5464

National Provider Directory

National Provider Directory

Locations

3031 Javier Rd
Fairfax, VA 22031
Phone (703) 560-1971

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1376723346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CASTLE PL",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441905",
            "telephone_number": "703-534-5464",
            "fax_number": "703-534-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CASTLE PL",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441905",
            "telephone_number": "703-534-5464",
            "fax_number": "703-534-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTERA OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "PRESTERA",
        "authorized_official_first_name": "CHRISTPHER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-534-5464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "1101000519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.