Advanced Ophthalmology Inc – Ophthalmology Physician

Key facts

NPI: 1780720532
Entity type: Organization (NPI type 2)
Primary specialty: Ophthalmology Physician 207W00000X
License: 0101232506 (VA)
Legal business name: ADVANCED OPHTHALMOLOGY INC
Practice address: 14904 Jefferson Davis Hwy
Suite 308
Woodbridge, VA 22191-3908
Phone: (703) 494-1766
Fax: (703) 494-0980
NPI assigned: Jan 29, 2007
Organization subpart: No

Authorized official

Name: Babur Bari Lateef, M.D. NPI 1962499186
Title: Physician
Phone: (703) 494-1766

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

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

Babur Bari Lateef, M.D. Ophthalmology Physician · Woodbridge, VA · NPI 1962499186

Medicare reassignment Care Compare group NPD Authorized official DC · OPHTHALMOLOGY · VA
Sofia Naz Ahmad, O.D. Optometrist · Woodbridge, VA · NPI 1336599604

Medicare reassignment Care Compare group NPD VA
Lori Suzanne Snyder, MD Ophthalmology Physician · Winchester, VA · NPI 1497862957

Medicare reassignment NPD OPHTHALMOLOGY · VA
Aaron Joseph Figler, O.D. Optometrist · Woodbridge, VA · NPI 1235187329

NPD (past)
Nicole Swistak, O.D. Optometrist · Bolling Afb, DC · NPI 1720072630

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in VA, DC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20050203000752	VA	Part B Supplier - Clinic/Group Practice	8527019843	Receives reassigned benefits from 3 practitioners Practice locations: Woodbridge, VA; Manassas, VA
O20170714000023	DC	Part B Supplier - Clinic/Group Practice	8527019843	Receives reassigned benefits from 1 practitioner Practice locations: Woodbridge, VA

National Provider Directory

Locations

9161 Liberia Ave
Ste 405
Manassas, VA 20110
Phone (703) 494-1766

14904 Richmond Hwy
Ste 308
Woodbridge, VA 22191
Phone (703) 434-1766

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ophthalmology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207W00000X	0101232506	VA	Yes

Addresses

Primary practice location

14904 Jefferson Davis Hwy
Suite 308
Woodbridge, VA 22191-3908

Mailing address

14904 Jefferson Davis Hwy
Suite 308
Woodbridge, VA 22191-3908
Phone (703) 494-1766

Other providers in Woodbridge, VA

All providers in Woodbridge, VA · Ophthalmology Physician in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.