NPIMap

Organization Active NPI

Virginia Eyecare Center, P.C.

  • Optometrist
  • Burke, VA
National Provider Identifier
1700987237
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0603000237 Issued in VA
Legal business name
VIRGINIA EYECARE CENTER, P.C.
Practice address
9314 Old Keene Mill Rd Ste a
Burke, VA 22015-4284
Phone
(703) 569-3131
Fax
(703) 451-9291
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Timothy La Freniere, ODNPI 1902151244
Title
Vice-President
Phone
(703) 569-3131

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 0603000237 VA Primary

Addresses

Primary practice location

9314 Old Keene Mill Rd Ste a
Burke, VA 22015-4284

Mailing address

9314 Old Keene Mill Rd Ste a
Burke, VA 22015-4284
Phone (703) 569-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000431 DC Part B Supplier - Clinic/Group Practice 0648332155 Receives reassigned benefits from 8 practitioners
Practice locations: Burke, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2168054Virginia Eyecare Center9314A Old Keene Mill Rd, Burke, VA 22015Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory

Locations

9314 Old Keene Mill Rd
Ste A
Burke, VA 22015
Phone (703) 569-3131

9310 Old Keene Mill Rd
Ste A
Burke, VA 22015

Practitioners & affiliated clinicians

Practitioners 9

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1700987237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 OLD KEENE MILL RD STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154284",
            "telephone_number": "703-569-3131",
            "fax_number": "703-451-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 OLD KEENE MILL RD STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154284",
            "telephone_number": "703-569-3131",
            "fax_number": "703-451-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA EYECARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "LA FRENIERE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "703-569-3131",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.