Active NPI
Tina Ansari OD & Associates, LLC
- Optometrist
- Gainesville, VA
National Provider Identifier
1760060743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TINA ANSARI OD & ASSOCIATES, LLC
- Practice address
- 13934 Estate Manor Dr Unit J
Gainesville, VA 20155-5951 - Phone
- (804) 605-9821
- NPI assigned
- Mar 31, 2021
- 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. Tina Ansari, OD
- Title
- Owner
- Phone
- (703) 594-9099
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
13934 Estate Manor Dr Unit J
Gainesville, VA 20155-5951
Mailing address
13934 Estate Manor Dr Unit J
Gainesville, VA 20155-5951
Phone (703) 594-9099
Other names 1
- Lumen Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13934 Estate Manor Dr
Unit J
Gainesville, VA 20155
Phone (703) 594-9099
13934 Estate Manor Dr
Gainesville, VA 20155
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Gainesville, VA
- NPI 1487062519
-
- Optometrist
- Leesburg, VA
- NPI 1942826565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1760060743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13934 ESTATE MANOR DR UNIT J",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201555951",
"telephone_number": "703-594-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13934 ESTATE MANOR DR UNIT J",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201555951",
"telephone_number": "804-605-9821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TINA ANSARI OD & ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-31",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "ANSARI",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-594-9099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lumen Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.