Active NPI
Daraius Adi Unwalla, OD
- Optometrist
- Dulles, VA
National Provider Identifier
1629021449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000139
- Practice address
- 21100 Dulles Town Cir Ste 103
Dulles, VA 20166-2438 - Phone
- (703) 421-9020
- Fax
- (703) 421-7426
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000139 | VA | Primary |
Addresses
Primary practice location
21100 Dulles Town Cir Ste 103
Dulles, VA 20166-2438
Mailing address
21100 Dulles Town Cir Ste 103
Dulles, VA 20166-2438
Phone (703) 421-9020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1629021449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21100 DULLES TOWN CIR STE 103",
"city": "DULLES",
"state": "VA",
"postal_code": "201662438",
"telephone_number": "703-421-9020",
"fax_number": "703-421-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21100 DULLES TOWN CIR STE 103",
"city": "DULLES",
"state": "VA",
"postal_code": "201662438",
"telephone_number": "703-421-9020",
"fax_number": "703-421-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNWALLA",
"first_name": "DARAIUS",
"middle_name": "ADI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dulles, VA
- The Cardiovascular Group, PC (Virginia Heart)
- Paulin Nkenglefac Thomas, RRT
- TJB of Dulles, LLC (Loudoun Dental Associates & Smilez Pediatric Dental Group)
- Twelvestone Medical, Inc.
- Unity Kids Behavioral Health PLLC
- US Careways-Iad, PLLC
- US Embassy Kathmandu
- Connie Van Baah, CNM
- Vesper Medical Associates of Virginia
- Vida Telehealth PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.