NPIMap

Organization Active NPI

Lifetime Vision& Contacts P.C.

  • Medical Specialty Clinic/Center
  • Ashburn, VA
National Provider Identifier
1396933107
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0618000034 Issued in VA
Legal business name
LIFETIME VISION& CONTACTS P.C.
Practice address
44345 Premier PLZ
Suite # 100
Ashburn, VA 20147-5053
Phone
(703) 729-8393
Fax
(703) 729-8394
NPI assigned
Oct 5, 2007
Last updated
Oct 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Dr. Gordon Vincent Culp Jr., O.D.NPI 1003879834
Title
President
Phone
(703) 729-8393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0618000034 VA Primary

Addresses

Primary practice location

44345 Premier PLZ
Suite # 100
Ashburn, VA 20147-5053

Mailing address

44345 Premier PLZ
Suite # 100
Ashburn, VA 20147-5053
Phone (703) 729-8393

National Provider Directory

National Provider Directory

Locations

44345 Premier Plz
Ste 100
Ashburn, VA 20147
Phone (703) 729-8393

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1396933107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44345 PREMIER PLZ",
            "address_2": "SUITE # 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475053",
            "telephone_number": "703-729-8393",
            "fax_number": "703-729-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44345 PREMIER PLZ",
            "address_2": "SUITE # 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475053",
            "telephone_number": "703-729-8393",
            "fax_number": "703-729-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME VISION& CONTACTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "CULP",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-729-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0618000034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.