For Eyes Optical of PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1101003519 Issued in VA

Legal business name

FOR EYES OPTICAL OF PA

Doing business as

For Eyes

Practice address

3690 King St
Suite K & L
Alexandria, VA 22302-1921

Phone

(703) 552-6352

Fax

(703) 933-6327

NPI assigned

May 18, 2007

Reactivated

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Hans Van Der Heyden

Title

Owner

Phone

(305) 557-9004

Specialties & licenses 1

Addresses

Other names 1

• For Eyes Doing business as

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1376751826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "address_2": "SUITE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "305-557-9004",
            "fax_number": "855-881-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 KING ST",
            "address_2": "SUITE K & L",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021921",
            "telephone_number": "703-552-6352",
            "fax_number": "703-933-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR EYES OPTICAL OF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-03-30",
        "deactivation_date": "2013-07-11",
        "reactivation_date": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "VAN DER HEYDEN",
        "authorized_official_first_name": "HANS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-557-9004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "1101003519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ngongbo Dylan Foncha
• Leona Fontana, PA
• Robert John Fontana Jr., PA-C
• Keith Foos, DO
• For Eyes Optical Inc
• Greg Forbes
• Jennifer Louise Forbes, LPC
• Charmaine Ford
• Courtney Camille Ford, MD
• Jordan C Ford

• Eyewear Supplier in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.