NPIMap

Organization Active NPI

Optometric Consultants of Virginia, Inc

  • Optometrist
  • Chantilly, VA
National Provider Identifier
1619285673
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001301 Issued in VA
Legal business name
OPTOMETRIC CONSULTANTS OF VIRGINIA, INC
Practice address
4221 Walney Rd
Suite 100
Chantilly, VA 20151-2987
Phone
(703) 961-9119
Fax
(703) 961-9230
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Dimple Kapoor, O.D.NPI 1902831134
Title
Ceo
Phone
(703) 961-9119

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001301 VA Primary

Addresses

Primary practice location

4221 Walney Rd
Suite 100
Chantilly, VA 20151-2987

Mailing address

4221 Walney Rd
Suite 100
Chantilly, VA 20151-2987
Phone (703) 961-9119

Other names 1

  • Eye & Vision Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140108001357 VA Part B Supplier - Clinic/Group Practice 4082664792 Receives reassigned benefits from 4 practitioners
Practice locations: Haymarket, VA; Chantilly, VA; Ashburn, VA

National Provider Directory

National Provider Directory

Locations

21001 Sycolin Rd
Ste 100
Ashburn, VA 20147
Phone (571) 291-9699

21001 Sycolin Rd
Ste 140
Ashburn, VA 20147
Phone (703) 722-8688

25055 Riding Plz
Ste 100S
Chantilly, VA 20152

25022 Riding PLZ Ste 100
Chantilly, VA 20152

5511 Merchants View Sq
Haymarket, VA 20169
Phone (703) 659-4430

25055 Riding Plz
Ste 100
South Riding, VA 20152
Phone (703) 957-3384

Practitioners & affiliated clinicians

Practitioners 10

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": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1619285673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WALNEY RD",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512987",
            "telephone_number": "703-961-9119",
            "fax_number": "703-961-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WALNEY RD",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512987",
            "telephone_number": "703-961-9119",
            "fax_number": "703-961-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC CONSULTANTS OF VIRGINIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "DIMPLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-961-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye & Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.