NPIMap

Organization Active NPI

Primary Eyecare Associates

  • Optometrist
  • Burke, VA
National Provider Identifier
1588927735
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000625 Issued in VA
Legal business name
PRIMARY EYECARE ASSOCIATES
Practice address
9530A Burke Rd
Burke, VA 22015-3132
Phone
(703) 272-7880
Fax
(703) 272-7955
NPI assigned
Jun 22, 2012
Last updated
Feb 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Dr. Seema Nechel, ODNPI 1942331616
Title
Owner/President
Phone
(703) 272-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000625 VA Primary
Eyewear Supplier 332H00000X 0618000625 VA

Addresses

Primary practice location

9530A Burke Rd
Burke, VA 22015-3132

Mailing address

9530A Burke Rd
Burke, VA 22015-3132
Phone (703) 272-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121121000073 DC Part B Supplier - Clinic/Group Practice 7315198330 Receives reassigned benefits from 3 practitioners
Practice locations: Burke, VA

National Provider Directory

National Provider Directory

Locations

9530 Burke Rd
#A
Burke, VA 22015
Phone (703) 996-4000

9530A Burke Rd
Burke, VA 22015
Phone (703) 272-7880

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1588927735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530A BURKE RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153132",
            "telephone_number": "703-272-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530A BURKE RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153132",
            "telephone_number": "703-272-7880",
            "fax_number": "703-272-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYECARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "NECHEL",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-272-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000625",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "0618000625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.