Active NPI
Greenbriar Vision Center, Inc
- Clinic/Center
- Fairfax, VA
National Provider Identifier
1609165653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0618000088
- Legal business name
- GREENBRIAR VISION CENTER, INC
- Practice address
- 13029 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2001 - Phone
- (703) 322-2020
- Fax
- (703) 322-1221
- NPI assigned
- Mar 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas James Marotta, O.D.
- Title
- Optometrist
- Phone
- (703) 322-2020
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0618000088 | VA | Primary |
Addresses
Primary practice location
13029 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2001
Mailing address
13029 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2001
Phone (703) 322-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13029 Route 50
Fairfax, VA 22033
Phone (703) 322-1220
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329955200000",
"number": "1609165653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13029 LEE JACKSON MEMORIAL HWY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332001",
"telephone_number": "703-322-2020",
"fax_number": "703-322-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13029 LEE JACKSON MEMORIAL HWY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332001",
"telephone_number": "703-322-2020",
"fax_number": "703-322-1221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENBRIAR VISION CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-30",
"last_updated": "2012-02-23",
"status": "A",
"authorized_official_last_name": "MAROTTA",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "703-322-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "VA",
"license": "0618000088",
"primary": true
}
],
"identifiers": [],
"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 Feb 23, 2012; 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.