Active NPI
James E Powers, O.D.
- Optometrist
- Fairfax, VA
National Provider Identifier
1548317555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000108
- Practice address
- 3025 Hamaker CT Ste 101
Fairfax, VA 22031-2229 - Phone
- (703) 876-9630
- Fax
- (703) 876-0163
- NPI assigned
- Jan 4, 2007
- Last updated
- Mar 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000108 | VA | Primary |
Addresses
Primary practice location
3025 Hamaker CT Ste 101
Fairfax, VA 22031-2229
Mailing address
3025 Hamaker CT Ste 101
Fairfax, VA 22031-2229
Phone (703) 876-9630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009233024 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000108 | VA | MD | Optometrist |
Interoperability endpoints
- jpowers@capitaleyeconsultants.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1548317555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 101",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312229",
"telephone_number": "703-876-9630",
"fax_number": "703-876-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 101",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312229",
"telephone_number": "703-876-9630",
"fax_number": "703-876-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "JAMES",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009233024",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.