NPIMap

Organization Active NPI

Visualeyes Optometrists PLLC

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1669532644
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000709 Issued in VA
Legal business name
VISUALEYES OPTOMETRISTS PLLC
Practice address
9600 Main St Ste H
Fairfax, VA 22031-3798
Phone
(703) 764-3937
Fax
(703) 764-3986
NPI assigned
Dec 11, 2006
Last updated
Oct 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Terri Vo, O.D.NPI 1417967662
Title
Owner
Phone
(703) 764-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000709 VA Primary

Addresses

Primary practice location

9600 Main St Ste H
Fairfax, VA 22031-3798

Mailing address

9600 Main St Ste H
Fairfax, VA 22031-3798
Phone (703) 764-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004001011 DC Part B Supplier - Clinic/Group Practice 6406804962 Receives reassigned benefits from 5 practitioners
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory
Tax ID family
Visualeyes Optometrist PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9600 Main St
Ste H
Fairfax, VA 22031
Phone (703) 764-3937

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1669532644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 MAIN ST STE H",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313798",
            "telephone_number": "703-764-3937",
            "fax_number": "703-764-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 MAIN ST STE H",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313798",
            "telephone_number": "703-764-3937",
            "fax_number": "703-764-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUALEYES OPTOMETRISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-764-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.