Active NPI
Notal Vision Inc
- Physiological Laboratory
- Manassas, VA
National Provider Identifier
1619347408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- NOTAL VISION INC
- Practice address
- 7717 Coppermine Dr
Manassas, VA 20109-2506 - Phone
- (877) 322-2207
- Fax
- (888) 341-9400
- NPI assigned
- Oct 6, 2015
- 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
- Barbara Marie Benedict
- Title
- VP, Strategy & Operations
- Phone
- (888) 910-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
7717 Coppermine Dr
Manassas, VA 20109-2506
Mailing address
7717 Coppermine Dr
Manassas, VA 20109-2506
Phone (877) 322-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160107001209 | VA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0648572602 | Practice locations: Manassas, VA |
National Provider Directory
National Provider DirectoryLocations
10440 Balls Ford Rd
Ste 180
Manassas, VA 20109
Phone (703) 368-3333
7717 Coppermine Dr
Manassas, VA 20109
Phone (877) 322-2207
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Manassas, VA
- NPI 1902878382
-
- Ophthalmology Physician
- Henrico, VA
- NPI 1740252915
-
- Retina Specialist (Ophthalmology) Physician
- Vienna, VA
- NPI 1629203625
-
- Retina Specialist (Ophthalmology) Physician
- Vienna, VA
- NPI 1437214525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1619347408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7717 COPPERMINE DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092506",
"telephone_number": "877-322-2207",
"fax_number": "888-341-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 COPPERMINE DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092506",
"telephone_number": "877-322-2207",
"fax_number": "888-341-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOTAL VISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-06",
"last_updated": "2023-03-23",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "BENEDICT",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "VP, STRATEGY & OPERATIONS",
"authorized_official_telephone_number": "888-910-2020"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.