Active NPI
Nova Advanced Eyecare, PLLC
- Ophthalmology Physician
- Centreville, VA
National Provider Identifier
1720780877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NOVA ADVANCED EYECARE, PLLC
- Practice address
- 13890 Braddock Rd Ste 302
Centreville, VA 20121-2438 - Phone
- (571) 832-8650
- NPI assigned
- Mar 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hana NA, MD
- Title
- Owner
- Phone
- (571) 832-8650
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
13890 Braddock Rd Ste 302
Centreville, VA 20121-2438
Mailing address
13890 Braddock Rd Ste 302
Centreville, VA 20121-2438
Phone (571) 832-8650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
13890 Braddock Rd
Ste 302
Centreville, VA 20121
Phone (240) 233-4313
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": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692748800000",
"number": "1720780877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13890 BRADDOCK RD STE 302",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212438",
"telephone_number": "571-832-8650",
"fax_number": "571-832-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13890 BRADDOCK RD STE 302",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212438",
"telephone_number": "571-832-8650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA ADVANCED EYECARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-21",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A",
"authorized_official_last_name": "NA",
"authorized_official_first_name": "HANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-832-8650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.