Nova Eye Care Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1104014455 Issued in VA

Legal business name

NOVA EYE CARE CENTER, LLC

Practice address

3223 Duke St
Suite B3
Alexandria, VA 22314-4586

Phone

(703) 813-8997

Fax

(703) 662-5408

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tina Vu Kelly, ODNPI 1104014455

Title

Optometrist/ Member

Phone

(703) 813-8997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Tina Vu Kelly, OD

  • Optometrist
  • Alexandria, VA
  • NPI 1104014455

  DC

  Medicare reassignment NPD Authorized official
• Jennifer Lee-Sweeney

  • Optometrist
  • Alexandria, VA
  • NPI 1255715082
  NPD
• Jacqueline Marie Shannon, OD

  • Optometrist
  • Alexandria, VA
  • NPI 1215862255
  NPD

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1568612190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 DUKE ST STE B3",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144555",
            "telephone_number": "703-813-8997",
            "fax_number": "703-662-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 DUKE ST",
            "address_2": "SUITE B3",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144586",
            "telephone_number": "703-813-8997",
            "fax_number": "703-662-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA EYE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "VU",
        "authorized_official_title_or_position": "OPTOMETRIST/ MEMBER",
        "authorized_official_telephone_number": "703-813-8997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "1104014455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Anesthesia Providers LLC
• Nova Back Doctor PPLC
• Nova Dialysis Woodbine
• Nova Elderly Home Care (Visiting Angels)
• Nova Elderly Home Care LLC (Visiting Angels)
• Nova Eye Physicians & Surgeons
• Nova Foot & Ankle Center, LLC
• Nova Gynecology Associates LLC
• Nova Neuro Rehab PLLC
• Nova Pain Clinic Inc

• Optometrist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.