Active NPI
Prestera Optical Inc.
- Durable Medical Equipment & Medical Supplies
- Falls Church, VA
National Provider Identifier
1376723346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.