Individual provider Active NPI

Meron Taressa

  • Optician
  • Alexandria, VA
National Provider Identifier
1396136727
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
50 S Pickett St
Suite #29
Alexandria, VA 22304-7207
Phone
(571) 421-9094
Fax
(703) 567-0384
NPI assigned
Feb 6, 2015
Last updated
Feb 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

50 S Pickett St
Suite #29
Alexandria, VA 22304-7207

Mailing address

50 S Pickett St
Suite #29
Alexandria, VA 22304-7207
Phone (571) 421-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Opticians Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1396136727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S PICKETT ST",
            "address_2": "SUITE #29",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047207",
            "telephone_number": "571-421-9094",
            "fax_number": "703-567-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S PICKETT ST",
            "address_2": "SUITE #29",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047207",
            "telephone_number": "571-421-9094",
            "fax_number": "703-567-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARESSA",
        "first_name": "MERON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.