Sirius Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002068 Issued in VA

Legal business name

SIRIUS EYE CARE PLLC

Practice address

6506 Loisdale Rd
Attn: Dr. Michael Wong, Sirius Eye Care PLLC
Springfield, VA 22150-1824

Phone

(703) 719-9110

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wong, O.D.

Title

Optometrist

Phone

(703) 719-9110

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1588927859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 LOISDALE RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501824",
            "telephone_number": "703-719-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 LOISDALE RD",
            "address_2": "ATTN: DR. MICHAEL WONG, SIRIUS EYE CARE PLLC",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501824",
            "telephone_number": "703-719-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIUS EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-719-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "191465",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191465",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rubina Mittal Singh, PHARM.D.
• Tripta Resham Singh, MBBS
• Preetee Singhal, PT
• Allyson M. Sipes, PSYD
• Sarunporn (Jay) Sirikietsoong, PSY.D.
• Richard B Sisson, MD
• Afton Sizemore
• SJH Behavioral Consulting LLC
• Dorothy Slocum
• Leslie Slutz, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.