Individual provider Active NPI

David Jay Seidman, MD

  • Ophthalmology Physician
  • Falls Church, VA
National Provider Identifier
1487630703
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101041193 Issued in VA
Practice address
6231 Leesburg Pike
Suite 608
Falls Church, VA 22044-2102
Phone
(703) 534-3900
Fax
(703) 536-3729
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 0101041193 VA
Ophthalmology Physician 207W00000X 0101041193 VA Primary

Addresses

Primary practice location

6231 Leesburg Pike
Suite 608
Falls Church, VA 22044-2102

Mailing address

6231 Leesburg Pike Ste 608
Falls Church, VA 22044-2102
Phone (703) 534-3900

Other identifiers 1

IdentifierTypeStateIssuer
006331858MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000559 DC Practitioner - Ophthalmology 1052596574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Ophthalmology Assoc P.C CurrentSince Aug 25, 1987 Accepting new patients
Northern Virginia Ophthalmology Assoc P.C. Ophthalmology CurrentSince Aug 25, 1987 Accepting new patients

Locations

3975 Fair Ridge Dr
Ste S100
Fairfax, VA 22033
Phone (703) 620-2701

6565 Arlington Blvd
Ste 250
Falls Church, VA 22042
Phone (703) 534-3900

6231 Leesburg Pike
Ste 608
Falls Church, VA 22044
Phone (703) 534-3900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1487630703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE STE 608",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-534-3900",
            "fax_number": "703-536-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE",
            "address_2": "SUITE 608",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-534-3900",
            "fax_number": "703-536-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "VA",
            "license": "0101041193",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101041193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006331858",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.