NPIMap

Organization Active NPI

Edeneyecare LLC

Doing business as Visualeyes

  • Multi-Specialty Clinic/Center
  • Arlington, VA
National Provider Identifier
1568901288
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
VA0618000709 Issued in VA
Legal business name
EDENEYECARE LLC
Doing business as
Visualeyes
Practice address
4018 Campbell Ave
Arlington, VA 22206-3424
Phone
(703) 671-1188
Fax
(703) 671-1198
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dr. Terri H Vo, OD
Title
Owner
Phone
(703) 671-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X VA0618000709 VA Primary

Addresses

Primary practice location

4018 Campbell Ave
Arlington, VA 22206-3424

Mailing address

4018 Campbell Ave
Arlington, VA 22206-3424
Phone (703) 671-1188

Other names 1

  • Visualeyes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eden Eyecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4018 Campbell Ave
Arlington, VA 22206
Phone (703) 671-1188

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1568901288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 CAMPBELL AVE",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063424",
            "telephone_number": "703-671-1188",
            "fax_number": "703-671-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 CAMPBELL AVE",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063424",
            "telephone_number": "703-671-1188",
            "fax_number": "703-671-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENEYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-671-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": "VA0618000709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visualeyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.