Organization Active NPI

TLC Vision Associates, LLC

  • Ophthalmology Physician
  • MC Lean, VA
National Provider Identifier
1497019939
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TLC VISION ASSOCIATES, LLC
Practice address
7930 Jones Branch Dr
MC Lean, VA 22102-3388
Phone
(703) 761-4999
Fax
(703) 761-4960
NPI assigned
Jun 29, 2012
Organization subpart
Yes
Parent organization
TLC VISION CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Mrs. Charice Y Anderson
Title
General Counsel
Phone
(636) 534-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

7930 Jones Branch Dr
MC Lean, VA 22102-3388

Mailing address

16305 Swingley Ridge Rd Ste 300
Chesterfield, MO 63017-1777
Phone (636) 534-2300

National Provider Directory

National Provider Directory
Part of
TLC the Laser Center Northeast Inc

Locations

7930 Jones Branch Dr
Mc Lean, VA 22102
Phone (703) 761-4999

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1497019939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SWINGLEY RIDGE RD STE 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171777",
            "telephone_number": "636-534-2300",
            "fax_number": "636-489-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 JONES BRANCH DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023388",
            "telephone_number": "703-761-4999",
            "fax_number": "703-761-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC VISION ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC VISION CENTERS, INC.",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARICE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "636-534-2234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.