Organization Active NPI

Medical Eye Care Associates, PC

  • Ophthalmology Physician
  • Manassas, VA
National Provider Identifier
1457674152
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101053808 Issued in VA
Legal business name
MEDICAL EYE CARE ASSOCIATES, PC
Practice address
8717 Digges Rd
Manassas, VA 20110-4403
Phone
(703) 366-3555
Fax
(703) 366-3606
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Andy Hay, MDNPI 1235172461
Title
Medical Doctor
Phone
(703) 366-3555

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 0101053808 VA Primary

Addresses

Primary practice location

8717 Digges Rd
Manassas, VA 20110-4403

Mailing address

10410 Marbury Rd
Oakton, VA 22124-1620
Phone (703) 366-3555

Other identifiers 1

IdentifierTypeStateIssuer
6305521MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100326000000 VA Part B Supplier - Clinic/Group Practice 1456487792 Receives reassigned benefits from 1 practitioner
Practice locations: Manassas, VA; Warrenton, VA

National Provider Directory

National Provider Directory

Locations

8717 Digges Rd
Manassas, VA 20110
Phone (703) 361-5189

493 Blackwell Rd
Ste 309
Warrenton, VA 20186
Phone (540) 341-1800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1457674152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 MARBURY RD",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241620",
            "telephone_number": "703-366-3555",
            "fax_number": "703-355-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403",
            "telephone_number": "703-366-3555",
            "fax_number": "703-366-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EYE CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "703-366-3555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101053808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6305521",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.