Organization Active NPI

Tuan Q. Duong O.D., P.C.

  • Optometrist
  • Falls Church, VA
National Provider Identifier
1700227972
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000259 Issued in VA
Legal business name
TUAN Q. DUONG O.D., P.C.
Practice address
6500 Arlington Blvd
Suite 102C
Falls Church, VA 22042-2352
Phone
(703) 532-1377
Fax
(703) 532-0449
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Tuan Quang Duong, O.D.NPI 1568489227
Title
President
Phone
(703) 795-1619

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000259 VA Primary

Addresses

Primary practice location

6500 Arlington Blvd
Suite 102C
Falls Church, VA 22042-2352

Mailing address

6500 Arlington Blvd
Suite 102C
Falls Church, VA 22042-2352
Phone (703) 532-1377

Other identifiers 2

IdentifierTypeStateIssuer
0618000259OtherVABOARD OF OPTOMETRY
009232524MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130806000522 DC Part B Supplier - Clinic/Group Practice 7911149851 Receives reassigned benefits from 1 practitioner
Practice locations: Falls Church, VA
O20201027000577 VA Part B Supplier - Clinic/Group Practice 7911149851 Receives reassigned benefits from 1 practitioner
Practice locations: Falls Church, VA

National Provider Directory

National Provider Directory

Locations

6500 Arlington Blvd
Ste 102C
Falls Church, VA 22042
Phone (703) 532-1377

5884 Mapledale Plz
Woodbridge, VA 22193

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1700227972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 ARLINGTON BLVD",
            "address_2": "SUITE 102C",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422352",
            "telephone_number": "703-532-1377",
            "fax_number": "703-532-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ARLINGTON BLVD",
            "address_2": "SUITE 102C",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422352",
            "telephone_number": "703-532-1377",
            "fax_number": "703-532-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN Q. DUONG O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-795-1619",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OPTOMETRY",
            "identifier": "0618000259",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009232524",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.