Lake Ridge Ophthalmology LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101230473 Issued in VA

Legal business name

LAKE RIDGE OPHTHALMOLOGY LLC

Practice address

1920 Opitz Blvd
Woodbridge, VA 22191-3304

Phone

(703) 494-1388

Fax

(703) 494-1113

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Norma Lizette Zapata de Perez, MDNPI 1992704373

Title

Owner

Phone

(703) 494-1388

Specialties & licenses 1

Addresses

Other names 1

• NORMA L ZAPATA DE PEREZ MD Doing business as

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Norma Lizette Zapata-de Perez, MD

  • Ophthalmology Physician
  • Lake Ridge, VA
  • NPI 1992704373

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1700142114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-494-1388",
            "fax_number": "703-494-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-494-1388",
            "fax_number": "703-494-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE RIDGE OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "ZAPATA DE PEREZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "LIZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-494-1388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101230473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORMA L ZAPATA DE PEREZ MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORMA L ZAPATA DE PEREZ MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lake Ridge Internal Medicne, PC
• Lake Ridge Orthodontics PC
• Lake Ridge Pediatric Dentistry PLLC
• Lake Ridge Physical Therapy, LLC
• Lake Ridge Vision Center PLLC
• Lake Ridge Vision Center, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.