Northern Virginia Eye Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OH712 Issued in VA

Legal business name

NORTHERN VIRGINIA EYE SURGERY CENTER, LLC

Practice address

2710 Prosperity Ave
Suite 150
Fairfax, VA 22031-4320

Phone

(703) 289-1290

Fax

(703) 289-1298

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Rich III, M.D.

Title

Medical Director

Phone

(703) 534-3900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Northern Virginia Eye Surgery Center LLCCCN 49C0001052

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haresh Ailani, M.D.

  • Ophthalmology Physician
  • Springfield, VA
  • NPI 1992964837
  NPD
• John Phillip Essepian III, M.D.

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1376766816
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1407079155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 PROSPERITY AVE",
            "address_2": "SUITE 150",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314320",
            "telephone_number": "703-289-1290",
            "fax_number": "703-289-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 PROSPERITY AVE",
            "address_2": "SUITE 150",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314320",
            "telephone_number": "703-289-1290",
            "fax_number": "703-289-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-534-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Virginia Endocrinologists Inc
• Northern Virginia Endocrinologists Inc
• Northern Virginia Endocrinologists Inc
• Northern Virginia Endodontic Solutions
• Northern Virginia Eye Physicians, PC
• Northern Virginia Hand and Nerve
• Northern Virginia Healthcare, P.C
• Northern Virginia Instructional Consulting, LLC
• Northern Virginia Nephrology Associates PC
• Northern Virginia OBGYN Associates, LTD.

• Ambulatory Surgical Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.