Northern Virginia Eye Physicians, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101248654 Issued in VA

Legal business name

NORTHERN VIRGINIA EYE PHYSICIANS, PC

Practice address

10721 Main St Ste 3200
Fairfax, VA 22030-6906

Phone

(703) 951-3930

NPI assigned

Jun 17, 2013

Last updated

Jun 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wellington Chang, MDNPI 1174780431

Title

President

Phone

(703) 951-3930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Wellington H. Chang, M.D.

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1174780431

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1649619305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 3200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306906",
            "telephone_number": "703-951-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 3200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306906",
            "telephone_number": "703-951-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA EYE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "WELLINGTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-951-3930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101248654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Virginia Counseling Services Inc.
• Northern Virginia Endocrinologists Inc
• Northern Virginia Endocrinologists Inc
• Northern Virginia Endocrinologists Inc
• Northern Virginia Endodontic Solutions
• Northern Virginia Eye Surgery Center, LLC
• Northern Virginia Hand and Nerve
• Northern Virginia Healthcare, P.C
• Northern Virginia Instructional Consulting, LLC
• Northern Virginia Nephrology Associates PC

• Ophthalmology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.

Verify at the official NPI Registry.