Active NPI
20-20 Optometrists P.C.
- Optometrist
- Springfield, VA
National Provider Identifier
1629276779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618-000492
- Legal business name
- 20-20 OPTOMETRISTS P.C.
- Practice address
- 7013 Braddock Mews PL
Springfield, VA 22151-3502 - Phone
- (703) 642-2432
- Fax
- (703) 642-2432
- NPI assigned
- Jul 10, 2007
- Last updated
- Jul 1, 2008
- 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
- Dr. Constantine James Dusckas, O.D.
- Title
- President
- Phone
- (703) 642-2432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618-000492 | VA | Primary |
Addresses
Primary practice location
7013 Braddock Mews PL
Springfield, VA 22151-3502
Mailing address
7013 Braddock Mews PL
Springfield, VA 22151-3502
Phone (703) 642-2432
National Provider Directory
National Provider DirectoryLocations
5801 Duke St
Ste 232
Alexandria, VA 22304
Phone (703) 914-1220
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Burke, VA
- NPI 1568432714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1629276779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7013 BRADDOCK MEWS PL",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221513502",
"telephone_number": "703-642-2432",
"fax_number": "703-642-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7013 BRADDOCK MEWS PL",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221513502",
"telephone_number": "703-642-2432",
"fax_number": "703-642-2432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "20-20 OPTOMETRISTS P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "DUSCKAS",
"authorized_official_first_name": "CONSTANTINE",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-642-2432",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618-000492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.