Cbkopt, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001234 Issued in VA

Legal business name

CBKOPT, LLC

Practice address

8025 Tysons Corner Ctr
MC Lean, VA 22102-4525

Phone

(703) 447-2179

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christine E Bae, ODNPI 1558913277

Title

Optometrist

Phone

(703) 447-2179

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Bae, OD

  • Optometrist
  • MC Lean, VA
  • NPI 1558913277
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1639613755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CENTRILLION DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221021442",
            "telephone_number": "703-447-2179",
            "fax_number": "703-848-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 TYSONS CORNER CTR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024525",
            "telephone_number": "703-447-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBKOPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-447-2179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda C Carter
• Suzanne B Casana, NP
• Paige Elizabeth Casey
• Samantha M Castellanos, BS, RBT
• Emily Caster, PSY.D.
• Ashley Cederholm
• Celebrated Minds Speech Therapy Co.
• Center for Endometriosis and Advanced Pelvic Surgery
• Center for Integrative Psychiatry
• Center for Pastoral Counseling of Virginia

• Optometrist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.