Organization Active NPI

Larry N London OD

Doing business as Virginia Vision Associates

  • Optometric Technician
  • Arlington, VA
National Provider Identifier
1639578529
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Optometric TechnicianTaxonomy code 156FX1202X
Legal business name
LARRY N LONDON OD
Doing business as
Virginia Vision Associates
Practice address
3800 Fairfax Dr
Suite 1
Arlington, VA 22203-1711
Phone
(703) 522-3454
Fax
(703) 522-9636
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ana M Boisseau
Title
Billing Specialist
Phone
(703) 522-3454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric Technician 156FX1202X Primary

Addresses

Primary practice location

3800 Fairfax Dr
Suite 1
Arlington, VA 22203-1711

Mailing address

3800 Fairfax Dr
Suite 1
Arlington, VA 22203-1711
Phone (703) 522-3454

Other identifiers 1

IdentifierTypeStateIssuer
CH7060OtherVARAILROAD MEDICARE

Other names 1

  • Virginia Vision Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1639578529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR",
            "address_2": "SUITE 1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031711",
            "telephone_number": "703-522-3454",
            "fax_number": "703-522-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR",
            "address_2": "SUITE 1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031711",
            "telephone_number": "703-522-3454",
            "fax_number": "703-522-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY N LONDON OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "BOISSEAU",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "703-522-3454"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH7060",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.