For Eyes Optical of PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1101003283 Issued in VA

Legal business name

FOR EYES OPTICAL OF PA

Practice address

6401 Backlick Rd
Springfield, VA 22150-2634

Phone

(703) 719-9102

NPI assigned

Jan 26, 2007

Reactivated

Aug 19, 2013

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Griffin

Title

Manager

Phone

(305) 557-9004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1407902927",
    "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": "6401 BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502634",
            "telephone_number": "703-719-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR EYES OPTICAL OF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "deactivation_date": "2013-07-11",
        "reactivation_date": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-557-9004"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "1101003283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Flora, OTR/L
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• Amy Michele Floyd
• Sally Flynt, M.S., CCC-SLP
• Foot and Ankle Specialists of the Mid-Atlantic, LLC (The Podiatry Center Chartered)
• Bain C Ford, PSY.D.
• Yukie Foreman
• Stephanie Fors, MSW, QMHP-A
• Prisha Fox
• Douglas James Fraser Jr., M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.