Vision Innovation Centers of Virginia LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VISION INNOVATION CENTERS OF VIRGINIA LLC

Practice address

12 Chatham Heights Rd Ste 100
Fredericksburg, VA 22405-2593

Phone

(540) 371-2777

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Maria C Scott, MD

Title

MD

Phone

(410) 571-7998

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Vision Innovation Centers of Virginia LLC

  • Optician
  • Fredericksburg, VA
  • NPI 1194453092

  4981096864

  Same PAC ID

Locations

Practitioners 6

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

• Shazia Saman Ahmed, MD

  • Ophthalmology Physician
  • Arlington, VA
  • NPI 1306012950
  Medicare reassignment Care Compare group NPD
• Cambrie Shae Chandler, OD

  • Optometrist
  • Fredericksburg, VA
  • NPI 1073296273
  Medicare reassignment Care Compare group NPD
• Shelly R Hayes, O.D.

  • Optometrist
  • Fredericksburg, VA
  • NPI 1275537771
  Medicare reassignment Care Compare group NPD
• Steven J Hudson, M.D.

  • Ophthalmology Physician
  • Fredericksburg, VA
  • NPI 1578554739
  Medicare reassignment Care Compare group NPD
• David McGuigan III, MD

  • Ophthalmology Physician
  • Fredericksburg, VA
  • NPI 1699360800
  Medicare reassignment Care Compare group NPD
• Christine Anne Tagayun, MD, MS

  • Cornea and External Diseases Specialist Physician
  • MC Lean, VA
  • NPI 1952747289
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1760142004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 320",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017901",
            "telephone_number": "410-571-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHATHAM HEIGHTS RD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052593",
            "telephone_number": "540-371-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Garrisonville Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541615",
            "country_code": "US",
            "telephone_number": "540-371-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION INNOVATION CENTERS OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "410-571-7998",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine K Virk, MD
• Visavis Health Care Medical Group of VA LLC
• Vision Health Center O.D. P.L.L.C.
• Vision in Action LLC
• Vision Innovation Centers of Virginia LLC
• Visiting Nurse Service of Fredericksburg,Inc..
• Sarah Vitaletti, NP-C
• Paul Lawrence Vitsky, DDS
• Clint R Vogel, CRNA
• Hunter Voslow, DO

• Ophthalmology Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.