Organization Active NPI

20-20 Optometrists P.C.

  • Optometrist
  • Springfield, VA
National Provider Identifier
1629276779
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618-000492 Issued in VA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.