Organization Active NPI

Notal Vision Inc

  • Physiological Laboratory
  • Manassas, VA
National Provider Identifier
1619347408
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Mar 23, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20160107001209 VA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0648572602 Practice locations: Manassas, VA

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in Manassas, VA

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.

Verify at the official NPI Registry.