NPIMap

Organization Active NPI

Christina J Dixon OD PC

  • Optometrist
  • Stafford, VA
National Provider Identifier
1750528428
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000817 Issued in VA
Legal business name
CHRISTINA J DIXON OD PC
Practice address
120 Soaring Eagle Dr
Stafford, VA 22556-3903
Phone
(540) 720-0407
Fax
(540) 720-9047
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Christina J Dixon, O.D.NPI 1609899194
Title
Optometrist
Phone
(540) 720-0407

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 0618000817 VA Primary

Addresses

Primary practice location

120 Soaring Eagle Dr
Stafford, VA 22556-3903

Mailing address

120 Soaring Eagle Dr
Stafford, VA 22556-3903
Phone (540) 720-0407

Other names 1

  • Eagle Eye Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000089 VA Part B Supplier - Clinic/Group Practice 1850572629 Receives reassigned benefits from 2 practitioners
Practice locations: Stafford, VA

National Provider Directory

National Provider Directory

Locations

120 Soaring Eagle Dr
Stafford, VA 22556
Phone (540) 720-0407

Practitioners & affiliated clinicians

Practitioners 2

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1750528428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOARING EAGLE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563903",
            "telephone_number": "540-720-0407",
            "fax_number": "540-720-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOARING EAGLE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563903",
            "telephone_number": "540-720-0407",
            "fax_number": "540-720-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA J DIXON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "540-720-0407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Eye Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.