Eye Physicians of Virginia, LTD.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101037922 Issued in VA

Legal business name

EYE PHYSICIANS OF VIRGINIA, LTD.

Practice address

1800 Town Center Dr Ste 317
Reston, VA 20190-3239

Phone

(703) 437-3900

Fax

(703) 437-9426

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth M Karlin, M.D.

Title

Practice President

Phone

(703) 437-3900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1427102763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 611",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013843",
            "telephone_number": "703-356-6880",
            "fax_number": "703-893-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 317",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903239",
            "telephone_number": "703-437-3900",
            "fax_number": "703-437-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF VIRGINIA, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "KARLIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE PRESIDENT",
        "authorized_official_telephone_number": "703-437-3900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101037922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MEDICARE GRP",
            "identifier": "743091",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "C14195",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick K Evans Jr., CRNA
• Kirsten E Evans, MD
• Mackenzie Marie Evans
• Executive Healthcare Services PLLC
• Eye Institute of Reston
• Hibatalla Z Fadul, RPH
• Frank A Faillace, MD
• John J. Fainsan, MSPT, CSCS
• Fairfax Family Practice Centers PC
• Fairfax Radiological Consultants PC

• Ophthalmology Physician in Reston, VA
• Providers in Reston, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.