Active NPI
Richard Huberman M.D. & Alan J. Pollack M.D., LTD.
- Ophthalmology Physician
- Alexandria, VA
National Provider Identifier
1629165873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RICHARD HUBERMAN M.D. & ALAN J. POLLACK M.D., LTD.
- Practice address
- 4660 Kenmore Ave Ste 416
Alexandria, VA 22304-1306 - Phone
- (703) 751-0700
- NPI assigned
- Oct 9, 2006
- Last updated
- Jul 21, 2010
- 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
- Alan J Pollack, M.D.
- Title
- Sec/Treas
- Phone
- (703) 751-0700
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4660 Kenmore Ave Ste 416
Alexandria, VA 22304-1306
Mailing address
4660 Kenmore Ave Ste 416
Alexandria, VA 22304-1306
Phone (703) 751-0700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ4115 | Other | VA | RAIL ROAD MEDICARE GRP |
| G00413 | Other | VA | DC MEDICARE GRP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279670400000",
"number": "1629165873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 416",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041306",
"telephone_number": "703-751-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 416",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041306",
"telephone_number": "703-751-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD HUBERMAN M.D. & ALAN J. POLLACK M.D., LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2010-07-21",
"status": "A",
"authorized_official_last_name": "POLLACK",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SEC/TREAS",
"authorized_official_telephone_number": "703-751-0700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE GRP",
"identifier": "CJ4115",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC MEDICARE GRP",
"identifier": "G00413",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.